Interesting case with Dr Myra Kidman of uncinate process pdac invading the SMV (Resected at the J1 vein junction), middle colic, J1,J2 arts sacrificed,J3,J4,J5 arts with sma divested
@PrabinBikramTh2 If you do a full mobilisation you rarely need graft. But if the graft is long, it will kink. So you are right. Always have the shortest straight graft.
Long NAC for PDAC. Complete occlusion of PV-SMV and CHA encasement. Needed PTFE ringed graft shunt to Left PV via dilating obliterated umbilical vein. SV graft sorta to hepatic artery. Shunt thrombosed halfway through resection, reanastomosed to PV.
@cancerNSW@CaDxPath@paul_keall@Sydney_Uni Prof Gill is an amazing pathologist. The only pathologist who goes to see patients and takes a detailed history. Definitely a legend.
@DrAdarshVijay I just wanted to peruse the left lobe only as the right has gone. Shunt is between the portal vein and obliterated umbilical vein drawing into the distal left portal vein, beyond the glued vein.