Surgical Outcome of Autologous External Iliac Vein Grafting in Cases of Hepato-Pancreato-Biliary Malignancy: How I Do It.

Introduction: Operative indications and surgical outcomes of an autologous graft usage for hepato-pancreato-biliary malignancy have not been adequately investigated. Sixty consecutive patients who underwent sleeve resection of the portal vein (PVR, n = 45) or hepatic vein (HVR, n = 15) and right external iliac vein (REIV) graft reconstruction were reviewed. Results: Median graft length and reconstruction time were 3 cm (range, 2-7 cm) and 25 min (range, 16-40 min), respectively. Overall morbidity and surgical mortality were acceptable at 48 % and 1.6 %. Postoperative graft obstructions were seen in one patient with PVR and two patients with HVR; however, these patients did not suffer from the life-threatening complications. Conclusion: REIV graft reconstruction shows acceptable morbidity and mortality. Our strategy may extend the operative indications for advanced disease and impaired liver function. [ABSTRACT FROM AUTHOR]