Evidence map›Paper›PMID 40908453›Full record

ArticleAnnals of surgical oncology2025

Technical Aspects of Patch Reconstruction during Open and Robotic Pancreatoduodenectomy with Venous Resection: Preserving Venous Axis and Collaterals without Sacrificing Radicality.

Umberto Cillo, Giampaolo Perri, Enrico Gringeri, Domenico Bassi, Giovanni Marchegiani

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Umberto Cillo *Hepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.
Giampaolo Perri *Hepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy. giampaolo.perri@unipd.it.ORCID http://orcid.org/0000-0002-2072-7114
Enrico GringeriHepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.
Domenico BassiHepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.
Giovanni MarchegianiHepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Department of Surgical, Oncological and Gastroenterological Sciences (DiSCOG), University of Padua, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent techniques for venous resection and reconstruction during pancreatoduodenectomy are available, each with different advantages and drawbacks. PATIENTS AND

methodsIn this multimedia article, a detailed description of the surgical technique of venous resection with peritoneal (falciform) patch reconstruction is provided, including examples of extended (> 5 cm) or low (jejunal veins confluence) venous infiltrations, during both open and robotic pancreatoduodenectomy.

resultsReconstruction with patch is a versatile technique, typically fit for lateral but cranio-caudally prolonged tumor involvements, which unlike segmental resection allows preservation of venous collaterals, where a simple tangential resection would jeopardize oncologic radicality or increase the risk of stenosis. Moreover, maintaining the original venous axis and direction, it avoids the risk of torsion or kinking potentially associated with segmental resection with or without interposition graft.

conclusionsThe patch reconstruction combines the advantages of both tangential and segmental resection. It can be used for low or extended infiltrations, during open or robotic surgery, preserving venous collaterals without sacrificing radicality, and using prophylactic anticoagulation only.

Indexed as

Pancreatic NeoplasmsPancreaticoduodenectomyPlastic Surgery ProceduresRobotic Surgical ProceduresVascular Surgical ProceduresVeinsCollateral CirculationHumansFalciformPancreatectomyPatchPeritonealResectionVein

Identifiers

PMID40908453
PMCPMC12589377

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.