How I Do It: Vascular Reconstruction of Ileo-Jejunal Venous Tributaries in Setting of Caudal Involvement of the Superior Mesenteric Vein by Pancreatic Tumor.

This article presents a technical description of a vascular reconstruction involving two distinct second order SMV tributaries, developed to manage complex caudal SMV involvement during pancreatic surgery. The approach includes the use of a temporary meso-caval shunt and an interposition graft to enable safe resection. High-quality anatomical illustrations and a literature-based discussion support the rationale and reproducibility of the technique.