開課講師｜石宜銘
課程資訊｜2025.9.20-1
報名方式｜線上報名
課程介紹｜
石宜銘 王心儀 陳世欽 石柏威 石柏軒
台北榮民總醫院 外科部 一般外科暨胰臟癌治療與研究中心
胰臟癌侵犯門腸系靜脈（Porto-mesenteric vein）被歸類為邊緣可切除癌症（borderline resectable cancer）。然而是否能進行PMV切除與重建，是為了達到整塊切除（en-bloc resectability）最關鍵的決定性因素。傳統上，門腸系靜脈的重建方式包含直接靜脈縫合、貼片血管成形術（patch angioplasty）與端對端吻合術（end-to-end anastomosis）等技術。然而，當需切除較長血管時，通常需要使用血管導管進行重建。
在本報告中，我們將分享使用冷凍保存血管異體移植作為血管間置導管（vascular interposition conduit）應用於合併血管切除的胰十二指腸切除術中進行血管重建的經驗。我們亦將比較使用冷凍保存血管異體移植物與原位吻合（primary anastomosis）兩組之手術後血管結果。
Ming Shyr, MD, FACS, Shin-E Wang, MD, Shih-Chin Chen, MD, Yi- Bor-Uei Shyr, MD, Bor-Shiuan Shyr
Division of General Surgery, Department of Surgery and Therapeutic and Research Center of pancreatic Cancer, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
Porto-mesenteric vein (PMV) infiltration of pancreatic cancer is classified as borderline resectable cancer. For en-bloc resectability, the probability of PMV resection and reconstruction is the most decisive factor. Traditionally, the PMV reconstruction method used primary venorrhaphy, patch angioplasty, and end-to-end anastomosis techniques. However, a vascular interpostion conduit is often required for vascular reconstruction after a long segment of vascular resection. In this presentation, we would like to share with you our experience in using the cryopreserved vascular allograft as the vascular interposition conduit for vascular reconstruction in pancreaticoduodenectomy with vascular resection. The vascular outcomes after pancreaticoduodenectomy with vascular resection would be compared between cryopreserved vascular allograft and primary anastomosis groups.
講師介紹｜
