Tag Archives: portal vein

Small for size syndrome (s)

Small for size (SFS) syndrome is a condition which causes considerable confusion partly because the term has been extended beyond its original meaning. It was initially used to describe the situation in liver transplantation where a patient develops liver dysfunction … Continue reading

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Preparatory work to resect a hilar cholangiocarcinoma-Portal vein embolization

In the previous part of this blog (Preparatory work to resect a hilar cholangiocarcinoma-biliary drainage and volumetry) I described the initial stages of working up a patient with a Bismuth Type 3A hilar cholangiocarcinoma in whom it is planned to perform … Continue reading

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A quick and easy technique for patching small holes in the portal vein.

During pancreaticoduodenectomy (Whipple’s or Kausch-Whipple procedure depending on where you are from), tumours are often found to be adherent or invading the wall of the portal vein. This can render resection impossible or require a major portal vein resection as … Continue reading

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The Y, the T and the backward 7 of portal veins

I previously wrote a blog around rotation of the porta hepatis and the conformational changes that this can cause. Changes in the volume of relative components of the liver can also cause changes in the main portal venous trunk. This … Continue reading

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Pringle Manouevre Explained – an exceptional story

The Pringle manoeuvre describes a technique frequently used in liver surgery to control bleeding while dividing the liver parenchyma (liver substance) by applying a clamp or other compressive device to the porta hepatis at the foramen of Winslow as shown … Continue reading

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Rotation of the portal vein & surgery

Change of orientation of the porta hepatis and  portal vein in liver atrophy and hypertrophy. In cirrhosis there is often marked atrophy of the right lobe of the liver.  At the same time there is often caudate hypertrophy principally on … Continue reading

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