Hernandez AG, Munoz AN, Tiliani OA, Matamoros IS, Sanchez AP and Mompean FO
We report a case of intraoperative portal vein thrombosis in a patient with pancreatic head adenocarcinoma and tumor infiltration of the anterior wall of portal vein. Advances in surgery allow reparation of these vessels that can be infiltrated by the tumor. Currently we have a wide technical and prosthetic arsenal for this purpose. This case suggests that the use of patches is not a good choice and that the end to end suture is probably the most recommended in cases that require the portal reparation.