{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:39:31Z","timestamp":1792100371031,"version":"4.4.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"published-print":{"date-parts":[[2022,2]]},"DOI":"10.1007\/s00423-021-02338-y","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T12:24:24Z","timestamp":1634646264000},"page":"383-389","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Parachute technique for portal vein reconstruction during pancreaticoduodenectomy with portal vein resection in patients with pancreatic head cancer"],"prefix":"10.1007","volume":"407","author":[{"given":"Shoichi","family":"Irie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuji","family":"Yoshioka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Imamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Ono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromichi","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Mise","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9494-5993","authenticated-orcid":false,"given":"Akio","family":"Saiura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"issue":"10041","key":"2338_CR1","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1016\/S0140-6736(16)30583-9","volume":"388","author":"K Uesaka","year":"2016","unstructured":"Uesaka K, Boku N, Fukutomi A, Okamura Y, Konishi M, Matsumoto I, Kaneoka Y, Shimizu Y, Nakamori S, Sakamoto H, Morinaga S, Kainuma O, Imai K, Sata N, Hishinuma S, Ojima H, Yamaguchi R, Hirano S, Sudo T, Ohashi Y, Group JS (2016) Adjuvant chemotherapy of S-1 versus gemcitabine for resected pancreatic cancer: a phase 3, open-label, randomised, non-inferiority trial (JASPAC 01). Lancet 388(10041):248\u2013257. https:\/\/doi.org\/10.1016\/S0140-6736(16)30583-9","journal-title":"Lancet"},{"issue":"10073","key":"2338_CR2","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1016\/S0140-6736(16)32409-6","volume":"389","author":"JP Neoptolemos","year":"2017","unstructured":"Neoptolemos JP, Palmer DH, Ghaneh P, Psarelli EE, Valle JW, Halloran CM, Faluyi O, O\u2019Reilly DA, Cunningham D, Wadsley J, Darby S, Meyer T, Gillmore R, Anthoney A, Lind P, Glimelius B, Falk S, Izbicki JR, Middleton GW, Cummins S, Ross PJ, Wasan H, McDonald A, Crosby T, Ma YT, Patel K, Sherriff D, Soomal R, Borg D, Sothi S, Hammel P, Hackert T, Jackson R, Buchler MW, European Study Group for Pancreatic C (2017) Comparison of adjuvant gemcitabine and capecitabine with gemcitabine monotherapy in patients with resected pancreatic cancer (ESPAC-4): a multicentre, open-label, randomised, phase 3 trial. Lancet 389(10073):1011\u20131024. https:\/\/doi.org\/10.1016\/S0140-6736(16)32409-6","journal-title":"Lancet"},{"issue":"25","key":"2338_CR3","doi-asserted-by":"publisher","first-page":"2395","DOI":"10.1056\/NEJMoa1809775","volume":"379","author":"T Conroy","year":"2018","unstructured":"Conroy T, Hammel P, Hebbar M, Ben Abdelghani M, Wei AC, Raoul JL, Chone L, Francois E, Artru P, Biagi JJ, Lecomte T, Assenat E, Faroux R, Ychou M, Volet J, Sauvanet A, Breysacher G, Di Fiore F, Cripps C, Kavan P, Texereau P, Bouhier-Leporrier K, Khemissa-Akouz F, Legoux JL, Juzyna B, Gourgou S, O\u2019Callaghan CJ, Jouffroy-Zeller C, Rat P, Malka D, Castan F, Bachet JB, Canadian Cancer Trials G, the Unicancer GIPG (2018) FOLFIRINOX or gemcitabine as adjuvant therapy for pancreatic cancer. N Engl J Med 379(25):2395\u20132406. https:\/\/doi.org\/10.1056\/NEJMoa1809775","journal-title":"N Engl J Med"},{"issue":"3","key":"2338_CR4","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1097\/sla.0000000000001731","volume":"265","author":"O Strobel","year":"2017","unstructured":"Strobel O, Hank T, Hinz U, Bergmann F, Schneider L, Springfeld C, J\u00e4ger D, Schirmacher P, Hackert T, B\u00fcchler MW (2017) Pancreatic cancer surgery: the new R-status counts. Ann Surg 265(3):565\u2013573. https:\/\/doi.org\/10.1097\/sla.0000000000001731","journal-title":"Ann Surg"},{"issue":"5","key":"2338_CR5","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1002\/ags3.12273","volume":"3","author":"W Niesen","year":"2019","unstructured":"Niesen W, Hank T, B\u00fcchler M, Strobel O (2019) Local radicality and survival outcome of pancreatic cancer surgery. Ann Gastroenterol Surg 3(5):464\u2013475. https:\/\/doi.org\/10.1002\/ags3.12273","journal-title":"Ann Gastroenterol Surg"},{"issue":"6","key":"2338_CR6","doi-asserted-by":"publisher","first-page":"1351","DOI":"10.1016\/j.suc.2016.07.005","volume":"96","author":"G Younan","year":"2016","unstructured":"Younan G (2016) Techniques of vascular resection and reconstruction in pancreatic cancer. Surg Clin North Am 96(6):1351\u20131370. https:\/\/doi.org\/10.1016\/j.suc.2016.07.005","journal-title":"Surg Clin North Am"},{"issue":"7","key":"2338_CR7","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1002\/bjs.9799","volume":"102","author":"Y Murakami","year":"2015","unstructured":"Murakami Y (2015) Portal or superior mesenteric vein resection in pancreatoduodenectomy for pancreatic head carcinoma. Br J Surg 102(7):837\u2013846. https:\/\/doi.org\/10.1002\/bjs.9799","journal-title":"Br J Surg"},{"issue":"11","key":"2338_CR8","doi-asserted-by":"publisher","first-page":"1558","DOI":"10.1002\/bjs.10603","volume":"104","author":"D Kleive","year":"2017","unstructured":"Kleive D (2017) Trends in indications, complications and outcomes for venous resection during pancreatoduodenectomy. Br J Surg 104(11):1558\u20131567. https:\/\/doi.org\/10.1002\/bjs.10603","journal-title":"Br J Surg"},{"issue":"4","key":"2338_CR9","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1016\/j.surg.2014.12.002","volume":"157","author":"T Fujii","year":"2015","unstructured":"Fujii T (2015) Vein resections >3 cm during pancreatectomy are associated with poor 1-year patency rates. Surgery 157(4):708\u2013715. https:\/\/doi.org\/10.1016\/j.surg.2014.12.002","journal-title":"Surgery"},{"issue":"4","key":"2338_CR10","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/j.jamcollsurg.2012.05.034","volume":"215","author":"F Wang","year":"2012","unstructured":"Wang F (2012) Grafts for mesenterico-portal vein resections can be avoided during pancreatoduodenectomy. J Am Coll Surg 215(4):569\u2013579. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2012.05.034","journal-title":"J Am Coll Surg"},{"issue":"8","key":"2338_CR11","doi-asserted-by":"publisher","first-page":"1524","DOI":"10.1007\/s11605-008-0777-3","volume":"13","author":"J Zhang","year":"2009","unstructured":"Zhang J (2009) Long mesentericoportal vein resection and end-to-end anastomosis without graft in pancreaticoduodenectomy. J Gastrointest Surg 13(8):1524\u20131528. https:\/\/doi.org\/10.1007\/s11605-008-0777-3","journal-title":"J Gastrointest Surg"},{"issue":"5","key":"2338_CR12","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1016\/s1072-7515(01)01039-0","volume":"193","author":"S Fujisaki","year":"2001","unstructured":"Fujisaki S (2001) Utility of mobilization of the right colon and the root of the mesentery for avoiding vein grafting during reconstruction of the portal vein. J Am Coll Surg 193(5):576\u2013578. https:\/\/doi.org\/10.1016\/s1072-7515(01)01039-0","journal-title":"J Am Coll Surg"},{"issue":"3","key":"2338_CR13","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1016\/s1010-7940(99)00008-1","volume":"15","author":"V Falk","year":"1999","unstructured":"Falk V (1999) Quality of computer enhanced totally endoscopic coronary bypass graft anastomosis\u2013comparison to conventional technique. Eur J Cardiothorac Surg 15(3):260\u2013265. https:\/\/doi.org\/10.1016\/s1010-7940(99)00008-1","journal-title":"Eur J Cardiothorac Surg"},{"issue":"6","key":"2338_CR14","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1097\/sla.0000000000001065","volume":"262","author":"Y Inoue","year":"2015","unstructured":"Inoue Y, Saiura A, Yoshioka R, Ono Y, Takahashi M, Arita J, Takahashi Y, Koga R (2015) Pancreatoduodenectomy with systematic mesopancreas dissection using a supracolic anterior artery-first approach. Ann Surg 262(6):1092\u20131101. https:\/\/doi.org\/10.1097\/sla.0000000000001065","journal-title":"Ann Surg"},{"issue":"10","key":"2338_CR15","doi-asserted-by":"publisher","first-page":"1288","DOI":"10.1016\/j.hpb.2019.01.017","volume":"21","author":"Y Ono","year":"2019","unstructured":"Ono Y, Tanaka M, Matsueda K, Hiratsuka M, Takahashi Y, Mise Y, Inoue Y, Sato T, Ito H, Saiura A (2019) Techniques for splenic vein reconstruction after pancreaticoduodenectomy with portal vein resection for pancreatic cancer. HPB (Oxford) 21(10):1288\u20131294. https:\/\/doi.org\/10.1016\/j.hpb.2019.01.017","journal-title":"HPB (Oxford)"},{"key":"2338_CR16","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50268","author":"A Oba","year":"2020","unstructured":"Oba A, Ito H, Ono Y, Sato T, Mise Y, Inoue Y, Takahashi Y, Saiura A (2020) Regional pancreatoduodenectomy versus standard pancreatoduodenectomy with portal vein resection for pancreatic ductal adenocarcinoma with portal vein invasion. BJS Open. https:\/\/doi.org\/10.1002\/bjs5.50268","journal-title":"BJS Open"},{"issue":"6","key":"2338_CR17","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.1016\/j.surg.2020.08.003","volume":"168","author":"H Ito","year":"2020","unstructured":"Ito H, Takahashi Y, Saiura A (2020) Commentary: complex venous resection and reconstruction for locally advanced pancreatic cancer: Our approach. Surgery 168(6):1056\u20131057. https:\/\/doi.org\/10.1016\/j.surg.2020.08.003","journal-title":"Surgery"},{"issue":"4","key":"2338_CR18","doi-asserted-by":"publisher","first-page":"439","DOI":"10.6004\/jnccn.2021.0017","volume":"19","author":"MA Tempero","year":"2021","unstructured":"Tempero MA, Malafa MP, Al-Hawary M, Behrman SW, Benson AB, Cardin DB, Chiorean EG, Chung V, Czito B, Del Chiaro M, Dillhoff M, Donahue TR, Dotan E, Ferrone CR, Fountzilas C, Hardacre J, Hawkins WG, Klute K, Ko AH, Kunstman JW, LoConte N, Lowy AM, Moravek C, Nakakura EK, Narang AK, Obando J, Polanco PM, Reddy S, Reyngold M, Scaife C, Shen J, Vollmer C, Wolff RA, Wolpin BM, Lynn B, George GV (2021) Pancreatic adenocarcinoma, Version 2.2021, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 19(4):439\u2013457. https:\/\/doi.org\/10.6004\/jnccn.2021.0017","journal-title":"J Natl Compr Canc Netw"},{"key":"2338_CR19","unstructured":"TNM classification of malignant tumours, 8th Edition (2017) John Wiley & Sons Ltd."},{"issue":"2","key":"2338_CR20","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1002\/micr.22272","volume":"35","author":"T Yamamoto","year":"2015","unstructured":"Yamamoto T (2015) Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique. Microsurgery 35(2):129\u2013134. https:\/\/doi.org\/10.1002\/micr.22272","journal-title":"Microsurgery"},{"issue":"107\u2013108","key":"2338_CR21","first-page":"1025","volume":"58","author":"K Okamoto","year":"2011","unstructured":"Okamoto K (2011) Duct-to-mucosa pancreatojejunostomy for small main pancreatic duct by the parachute technique after pancreatoduodenectomy. Hepatogastroenterology 58(107\u2013108):1025\u20131028","journal-title":"Hepatogastroenterology"},{"issue":"47","key":"2338_CR22","first-page":"1213","volume":"49","author":"F Yoshimi","year":"2002","unstructured":"Yoshimi F (2002) Reconstruction of small bile ducts using a parachute technique. Hepatogastroenterology 49(47):1213\u20131215","journal-title":"Hepatogastroenterology"},{"issue":"116","key":"2338_CR23","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.5754\/hge12058","volume":"59","author":"A Nanashima","year":"2012","unstructured":"Nanashima A, Abo T, Kunizaki M, Takeshita H, Hidaka S, Sawai T, Nagayasu T (2012) Portal vein anastomosis with parachute method in hepatectomy and pancreatectomy. Hepatogastroenterology 59(116):1000\u20131002. https:\/\/doi.org\/10.5754\/hge12058","journal-title":"Hepatogastroenterology"},{"issue":"4","key":"2338_CR24","doi-asserted-by":"publisher","first-page":"2030","DOI":"10.1245\/s10434-020-09175-1","volume":"28","author":"R Sucher","year":"2021","unstructured":"Sucher R, Scheuermann U, Seehofer D (2021) Total laparoscopic resection of hilar cholangiocarcinoma type 3b: applying a parachute technique for hepaticojejunostomy. Ann Surg Oncol 28(4):2030\u20132034. https:\/\/doi.org\/10.1245\/s10434-020-09175-1","journal-title":"Ann Surg Oncol"},{"issue":"11","key":"2338_CR25","doi-asserted-by":"publisher","first-page":"1539","DOI":"10.1002\/bjs.10580","volume":"104","author":"R Ravikumar","year":"2017","unstructured":"Ravikumar R, Sabin C, Abu Hilal M, Al-Hilli A, Aroori S, Bond-Smith G, Bramhall S, Coldham C, Hammond J, Hutchins R, Imber C, Preziosi G, Saleh A, Silva M, Simpson J, Spoletini G, Stell D, Terrace J, White S, Wigmore S, Fusai G (2017) Impact of portal vein infiltration and type of venous reconstruction in surgery for borderline resectable pancreatic cancer. Br J Surg 104(11):1539\u20131548. https:\/\/doi.org\/10.1002\/bjs.10580","journal-title":"Br J Surg"},{"issue":"2","key":"2338_CR26","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.surg.2016.08.016","volume":"161","author":"M Yamamoto","year":"2017","unstructured":"Yamamoto M, Akamatsu N, Aoki T, Sakamoto Y, Tamura S, Hasegawa K, Kokudo N (2017) Safety and efficacy of cryopreserved homologous veins for venous reconstruction in pancreatoduodenectomy. Surgery 161(2):385\u2013393. https:\/\/doi.org\/10.1016\/j.surg.2016.08.016","journal-title":"Surgery"},{"issue":"1","key":"2338_CR27","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1002\/bjs.9682","volume":"102","author":"MJ Kang","year":"2015","unstructured":"Kang MJ, Jang JY, Chang YR, Jung W, Kim SW (2015) Portal vein patency after pancreatoduodenectomy for periampullary cancer. Br J Surg 102(1):77\u201384. https:\/\/doi.org\/10.1002\/bjs.9682","journal-title":"Br J Surg"},{"issue":"3","key":"2338_CR28","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1016\/j.jvs.2009.09.025","volume":"51","author":"DY Lee","year":"2010","unstructured":"Lee DY, Mitchell EL, Jones MA, Landry GJ, Liem TK, Sheppard BC, Billingsley KG, Moneta GL (2010) Techniques and results of portal vein\/superior mesenteric vein reconstruction using femoral and saphenous vein during pancreaticoduodenectomy. J Vasc Surg 51(3):662\u2013666. https:\/\/doi.org\/10.1016\/j.jvs.2009.09.025","journal-title":"J Vasc Surg"},{"key":"2338_CR29","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09716-2","author":"J Garnier","year":"2021","unstructured":"Garnier J, Traversari E, Ewald J, Marchese U, Delpero JR, Turrini O (2021) Venous reconstruction during pancreatectomy using polytetrafluoroethylene grafts: a single-center experience with standardized perioperative management. Ann Surg Oncol. https:\/\/doi.org\/10.1245\/s10434-021-09716-2","journal-title":"Ann Surg Oncol"},{"issue":"2","key":"2338_CR30","first-page":"307","volume":"73","author":"JG Fortner","year":"1973","unstructured":"Fortner JG (1973) Regional resection of cancer of the pancreas: a new surgical approach. Surgery 73(2):307\u2013320","journal-title":"Surgery"},{"issue":"10","key":"2338_CR31","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1002\/bjs.9222","volume":"100","author":"PT Kim","year":"2013","unstructured":"Kim PT, Wei AC, Atenafu EG, Cavallucci D, Cleary SP, Moulton CA, Greig PD, Gallinger S, Serra S, McGilvray ID (2013) Planned versus unplanned portal vein resections during pancreaticoduodenectomy for adenocarcinoma. Br J Surg 100(10):1349\u20131356. https:\/\/doi.org\/10.1002\/bjs.9222","journal-title":"Br J Surg"},{"issue":"15","key":"2338_CR32","doi-asserted-by":"publisher","first-page":"3801","DOI":"10.1002\/cncr.26717","volume":"118","author":"J Wang","year":"2012","unstructured":"Wang J, Estrella JS, Peng L, Rashid A, Varadhachary GR, Wang H, Lee JE, Pisters PW, Vauthey JN, Katz MH, Gomez HF, Evans DB, Abbruzzese JL, Fleming JB, Wang H (2012) Histologic tumor involvement of superior mesenteric vein\/portal vein predicts poor prognosis in patients with stage II pancreatic adenocarcinoma treated with neoadjuvant chemoradiation. Cancer 118(15):3801\u20133811. https:\/\/doi.org\/10.1002\/cncr.26717","journal-title":"Cancer"}],"container-title":["Langenbeck's Archives of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02338-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00423-021-02338-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00423-021-02338-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T04:41:41Z","timestamp":1644986501000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00423-021-02338-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,19]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["2338"],"URL":"https:\/\/doi.org\/10.1007\/s00423-021-02338-y","relation":{},"ISSN":["1435-2443","1435-2451"],"issn-type":[{"value":"1435-2443","type":"print"},{"value":"1435-2451","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,19]]},"assertion":[{"value":"19 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained in the form of opt-out on the website of each institution.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"No animals were used in this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}