دورية أكاديمية

doi:10.1155/2008/896320 Clinical Study Therapeutic Anticoagulant Does not Modify Thromboses Rate Vein after Venous Reconstruction Following Pancreaticoduodenectomy

التفاصيل البيبلوغرافية
العنوان: doi:10.1155/2008/896320 Clinical Study Therapeutic Anticoagulant Does not Modify Thromboses Rate Vein after Venous Reconstruction Following Pancreaticoduodenectomy
المؤلفون: Mehdi Ouaïssi, Igor Sielezneff, Nicolas Pirro, Rémi Bon Mardion, Jean Batiste Chaix, Abdelrhame Merad, Stéphane Berdah, Vincent Moutardier, Silvia Cresti, Olivier Emungania, Loundou Anderson, Brunet Christian, Sastre Bernard
المساهمون: The Pennsylvania State University CiteSeerX Archives
المصدر: ftp://ftp.ncbi.nlm.nih.gov/pub/pmc/aa/95/Gastroenterol_Res_Pract_2008_Nov_23_2008_896320.tar.gz
المجموعة: CiteSeerX
الوصف: Recommendations for anticoagulation following major venous reconstruction for pancreatic adenocarcinoma (PA) are not clearly established. The aim of our study was to find out the relation between postoperative anticoagulant treatment and thrombosis rate afterportalvenousresection.Materials and methods. Between 1986 and 2006, twenty seven portal vein resections were performed associated with pancreaticoduodenectomies (n = 27) (PD).We defined four types of venous resection: type I was performed 1 cm above the confluent of the superior mesenteric vein (SMV) (n = 12); type II lateral resection and venorrhaphy at the level of the confluent SMV (n = 12); type III (n = 1) resulted from a primary end-to-end anastomosis above confluent and PTFE graph was used for reconstruction for type IV (n = 2). Curative anticoagulant treatment was always indicated after type IV (n = 2) resection, and after resection of type II when the length of venous resection was longer than ≥2cm.Results. Venous thrombosis rate reached: 0%, 41%, and 100 % for type I, II, IV resections, respectively. Among them four patients received curative anticoagulant treatment. Conclusion. After a portal vein resection was achieved in the course of a PD, curative postoperative anticoagulation does not prevent efficiently the onset of thrombosis.
نوع الوثيقة: text
وصف الملف: application/zip
اللغة: English
العلاقة: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.278.3260Test
حقوق: Metadata may be used without restrictions as long as the oai identifier remains attached to it.
رقم الانضمام: edsbas.83FE8F7E
قاعدة البيانات: BASE