Special therapeutic procedures
Microsurgery is a complex technique that has been integrated in different surgical specialties other than general surgery. In the last few years, the use of new and sophisticated (but unusual) technical procedures has contributed to a gradual development of this specialty. However, it is still unusual to see general surgery departments that have the opportunity to use microsurgery.
Our department assimilated this discipline in 2001 thanks to Dr. Yolanda Quijano, one of the most experienced professionals in Europe in this field, both clinically and experimentally speaking. Since then, we have been able to widen our therapeutical range as well as our teaching and research activity.
The surgical procedures in which our team has gained experience thanks to this technique are:
- Resection of non-spread tumors located in the biliary tree and liver. In order to gain an adecuate oncologic margin and avoid surgical radicality, it is necessary to resect –and afterwards reconstruct- small arteries, normally lobar liver ones.
- Use of revascularized free grafts of small bowel after multivisceral resection (complete esophagopharyngeal laryngectomy) in laryngeal, pharyngeal or cervical esophageal tumors.
- Arterial revascularization at the implantation stage of the liver transplant from living donor in adult and pediatric patients.
The outstanding surgical and functional results obtained thanks to this discipline in any of the described procedures clearly justify the need for incorporating it to our General Surgery Department. This technical enrichment widens our portfolio of services thanks to these sophisticated surgical procedures of great technical complexity that are clearly efficient in the functional recovery of patients.
Solid tumor located in the head of the pancreas with involvement of the right hepatic artery and superior mesenteric vein.
Cephalic duodenopancreatectomy with resection of the superior mesenteric vein and right hepatic artery.
Related liver transplant from living donor in adults (right lobe).