Percutaneous Transhepatic Y-shaped Stent Placement in Portal-superior Mesenteric Vein Tumor Thrombosis Before Right Colectomy

Surg Laparosc Endosc Percutan Tech. 2018 Feb;28(1):e30-e32. doi: 10.1097/SLE.0000000000000496.

Abstract

Portal-mesenteric tumor thrombosis represents a rare finding in patients with colorectal cancers. To our knowledge this is the first report of a patient diagnosed as having a wide stenosing right colon cancer with portal-superior mesenteric vein tumor thrombosis at the time of diagnosis, who was treated before surgery by positioning a percutaneous transhepatic Y-shaped stent through the main portal vein and the superior mesenteric vein. Percutaneous interventional procedures have gained worldwide acceptance for improving the symptoms of portal hypertension, because of their minimal invasiveness and high success rates with low number of complications. A multidisciplinary approach is mandatory in order to choose the best therapeutic option for the patients and the importance of a strong collaboration between interventional radiologist and surgeon has to be considered.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty / methods
  • Colectomy / methods
  • Colonic Neoplasms / complications
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Mesenteric Veins / pathology
  • Mesenteric Veins / surgery*
  • Neoplastic Cells, Circulating / pathology*
  • Portal Vein / pathology
  • Portal Vein / surgery*
  • Preoperative Care / methods
  • Risk Assessment
  • Stents*
  • Thrombectomy / methods
  • Treatment Outcome
  • Vascular Patency / physiology
  • Venous Thrombosis / complications
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / surgery*