Pancreaticoduodenectomy with combined superior mesenteric vein resection without reconstruction is possible: A case report and review of the literature

Figure 1 Initial computed tomography scan, axial section: Tumor of the pancreatic head (green arrow) with adjacent thrombus of the superior mesenteric vein (red arrow).

Figure 2 Operative view and illustration at the initial surgery. A: Involvement of pancreatic tumor (T) in the superior mesenteric vein (SMV) without involvement of the portal vein (PV); ileal branch of the SMV (IB); jejunal branch of the SMV (JB); hepatic artery (HA); stump of transected pancreas; B: No SMV reconstruction after tumor resection; venous return by inferior mesenteric vein (IMV) and splenic vein (SV); inferior vena cava (IVC).