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| 1 | Vascular resection and reconstruction at pancreatico-duodenectomy:technical issues显示文摘BACKGROUND:With the improvement of perioperative management over the years,pancreatico-duodenectomy has become a safe operation despite its technical complexity.The presence of concomitant visceral artery occlusion unrelated to the underlying malignancy and concomitant major venous infiltration by tumor poses additional hazards to resection which could compromise the postoperative outcome.DATA SOURCES:A MEDLINE database search was performed to identify relevant articles using the key ords 'median arcuate ligament syndrome','superior mesenteric artery','replaced right hepatic artery',and 'portal vein resection'.Additional papers and book chapters were identified by a manual search of the references from the key articles.RESULTS:Computed tomography with 3-dimensional reconstruction of the vascular anatomy provides most key information on the potential vascular problems encountered during surgery.A trial clamping of the gastroduodenal artery provides a simple intraoperative assessment for the presence of any significant visceral arterial occlusion.Depending on the timing of diagnosis,division of the median arcuate ligament,bypass or endovascular stenting should be considered.Portal and superior mesenteric vein resection had been used with increasing frequency and safety.The steps and methods taken to reconstruct the venous continuity vary with individual surgeons,and the anatomical variations encountered.With segmental loss of the portal vein,opinions differs with regard to the preservation of the splenic vein,and when divided,the necessity of restoring its continuity;source of the autologous vein graft when needed and whether the use of synthetic graft is a safe alternative.CONCLUSIONS:During a pancreatico-duodenectomy,images of computed tomography must be carefully studied to appreciate the changes and variation of vascular anatomy.Adequate preoperative preparation,acute awareness of the probable arterial and venous anatomical variation and the availability of expertise,especially micro-vascular surgery,for vascular reconstruction would help to make the complex pancreatic resection a safer procedure. | Edward CS Lai | 2012 | Hepatobiliary & Pancreatic Diseases International2012，11，3： | 5 |
| 2 | Irreversible striatal neu- roimaging abnormalities secondary to prolonged, uncon- trolled diabetes mellitus in the setting of progressive focal neurological symptoms 显示文摘 | Tung CS Guo YC Lai CL | 2010 | Neurol Sci2010，31，1： | 1 |
| 3 | The partners' inseeure attaehment, depression, and psyehololgieal well-being predictors of diurnal eortisol patterns for breast cancer survivors and their spouses显示文摘 | Jow GM Kuo WH Huang CS Lai YM Liu YF Chang KJ | 2004 | Hsiao FH Stress2004，37，2： | 1 |
| 4 | Characterizing the neuroprotective effects of alkaline extractor Lycium barbarum on beta - amyloid peptide neuro- toxicity 显示文摘 | Ho YS Yu MS Lai CS | 2007 | Brain Res2007，7，16： | 1 |
| 5 | Venous drainage in the reverse forearm flap显示文摘 | Lin SD Lai CS Chiu CC | 1984 | Plast Reeonstr Surg1984，74，4： | 1 |
| 6 | Venous drainge in the reverse forearm flap显示文摘 | Lin SD Lai CS Chiu CC | 1984 | Plast Reconstr Surg1984，74，： | 1 |
| 7 | Reconsideration of testicular biopsy and follicle-stimulating hormone t in the era of intracytoplasmic sperm injection for non-obstructive azoospermia 显示文摘 | Chen CS Chu SH Lai YM | 1996 | Hum Reprod1996，11，10： | 1 |
| 8 | Electrophysiological mapping and histological examinations of the swine atrium with sustained(》 or = 24h)atrial fibrillation:a suitable animal model for studying human atrial fibrillation显示文摘 | Lin JL Lai LP Lin CS | 2003 | Cardiology2003，99，： | 1 |
| 9 | Venous drainage in the reverse forearm flap显示文摘 | Lin SD Lai CS Chui YT | 1984 | Plast Recunstr Surg1984，74，： | 1 |
| 10 | Incidence of chest wall paresthesia after needlescopic video-assisted thoracic surgery for palmar hyperhidrosis显示文摘 | Sihoe AD Cheung CS Lai HK | 2005 | Eur J Cardiothorac Surg2005，27，2： | 1 |
| 11 | Medial epicanthoplasty based on anatomic variations显示文摘 | Lai CS Lai CH Wu YC | 2012 | J Plast Reconstr Aesthet Surg2012，30，： | 1 |
| 12 | Medial epicanthoplasty based on anatomic variations显示文摘 | Lai CS Lai CH Wu YC | 2012 | J Plast Reconstr Aesthet Surg2012，65，9： | 1 |
| 13 | The soft-tissue shaving procedure for deformity management of chronic to- phaeeous gout显示文摘 | Lee SS Lin SD Lai CS | 2003 | Ann Hast Surg2003，51，4： | 1 |
| 14 | The prognostic factors for patients with early cervical cancer treated by radical hysterrectomy and postoperative radiotherapy显示文摘 | Tsai CS Lai CH Wang CC | 1999 | Gynecol Oncol1999，75，： | 1 |
| 15 | Factors affecting conversion of laparoscopic cholecystectomy to open surgery显示文摘 | Liu CL Fan ST Lai CS | 1996 | Arch Surg1996，131，： | 1 |
| 16 | Diallyl trisulfide in- duces apoptosis in human primary colorectal cancer cells显示文摘 | Yu CS Huang AC Lai KC | 2012 | Oncol Rep2012，28，： | 1 |
| 17 | A Forkhead-domain Gene Is Mutated in a Severe Speech and Language Disorder显示文摘 | Lai CS L Fisher S E Hurst J A | 2001 | Nature2001，413，： | 1 |
| 18 | Proton magnetic resonance spectroscopy in Kennedy disease显示文摘 | Lee CH Lai PH Liu CS | 2009 | J Neurol Sci2009，277，： | 1 |
| 19 | RHD gene polymorphisms among RhD-negative Chinese in Taiwan显示文摘 | Sun CF Chou CS Lai NC | 1998 | Vox Sang1998，75，1： | 1 |
| 20 | Venous in drainage reverse forearm flap显示文摘 | Lin SD Lai CS Chiu CC | 1984 | Plast Reconstr Surg1984，74，4： | 1 |
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