Falciform ligament tubular graft: A fast and easy alternative for possible venous reconstruction in advanced pancreatic surgery

A 58-year-old patient presented with a tumor in the body of the pancreas measuring 28 × 22 mm in diameter, with involvement of the portal vein, thrombosis of the splenic vein, and collaterals at the mesenteric-portal axis. Excision of the neoplasm required total pancreatectomy, which included a venous segment. For reconstruction, we created a tubular segment that was 25 mm long × 15 mm in diameter using the falciform ligament as autologous tissue, which was obtained and prepared at the start of the intervention and modeled using a 5 mL syringe as a reference.