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Pancreatic vein
The pancreatic vein is a blood vessel that carries blood away from the pancreas and empties it into the splenic and superior mesenteric veins, which then join the portal vein.From: Surgery for Ovarian Cancer [2019]
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The end-to-side vena cava anastomosis is made with 7/0 silk and running sutures (Figure 2D), stitching the dorsal side first. For the portal anastomosis the mesenteric artery is clamped first to prevent excessive congestion in the splanchnic area during the clamping of the portal vein. After clamping of the portal vein near the pancreatic vein, it is ligated and transected in the liver hilus. An end-to-end portal anastomosis is made with 8/0 nylon and running sutures (Figures 2E and 4). The dorsal side of the anastomosis is done first. Revascularization is established by removal of the clamps in the following order: vena cava, vena porta, mesenteric artery (Figures 2F and 5). Hemostasis is assured quickly. If necessary, additional stitches are placed, and blood loss compensated through infusion via the tail vein until normal arterial pulsations are seen.
Hematogenous dissemination is thought to be the most common mode of spread to the pancreas. Other possible modes include passage through the biliary tract, lymphatic spread from the intestine, direct passage via the pancreatic veins, and dissemination along the retroperitoneum.1,7