Anatomical segmentectomy of the head of the pancreas along the embryological fusion plane: A feasible procedure?

Sakamoto, Yoshihiro; Nagai, Masaya; Tanaka, Nobutaka; Nobori, Masakazu; Tsukamoto, Takamasa; Nokubi, Mitushiro; Suzuki, Yoshio; Makuuchi, Masatoshi

doi:10.1067/msy.2000.109611

Cited by 38 publications

(35 citation statements)

References 25 publications

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“…Because the pancreatic parenchyma around the minor papilla is partly involved in the duodenal wall [22,23], we had to expose the muscle layer of the duodenum. In spite of the wide dissection between the pancreas head and the duodenum, pancreatic leakage was not documented postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Asakawa¹,

Sakamoto²,

Kajiwara³

et al. 2007

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 99%

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Asakawa¹,

Sakamoto²,

Kajiwara³

et al. 2007

Langenbecks Arch Surg

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“…Although the realisation that an embryologic plane may exist between the dorsal and ventral pancreas has been raised in the pathology literature [7] and the embryology of dorsal and ventral pancreatic fusion has long been known, it is only in recent years [8] that the precise details of the vascular and ductal anatomy has been described in adults. It has become clear that the dorsal and ventral pancreas may be separated across embryologic cleavage planes, making excision of one of the segments logical if a disease process can be shown to be localised to it.…”

Section: Discussionmentioning

confidence: 99%

Total dorsal pancreatectomy for intraductal papillary mucinous neoplasm in a patient with pancreas divisum

2005

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“…33,34 As the short-type APD breaks off and disconnects from the distal MPD after removal of the MPD in ventral pancreatectomy, the performance of this procedure along the embryological fusion plane would be a complicated and troublesome procedure in a pancreas displaying short-type APD. 35,36 …”

Section: New Embryological Theory Of the Pancreatic Duct Systemmentioning

confidence: 98%

Clinical significance of the minor duodenal papilla and accessory pancreatic duct

Kamisawa

2004

J Gastroenterol

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The accessory pancreatic duct (APD) is the main drainage duct of the dorsal pancreatic bud in the embryo, entering the duodenum at the minor duodenal papilla (MIP). As development progresses, the duct of the dorsal bud undergoes varying degrees of atrophy at the duodenal end. In cases of patent APD, smooth-muscle fiber bundles derived from the duodenal proper muscular tunics surround the APD. The APD shows long and short patterns on pancreatography, and ductal fusion in the two types appears to differ embryologically. Patency of the APD in control cases, as determined by dye-injection endoscopic retrograde pancreatography, was 43%. Patency of the APD may depend on duct caliber, course, and terminal shape of the APD. A patent APD may prevent acute pancreatitis by reducing the pressure in the main pancreatic duct. Pancreas divisum is a common anatomical anomaly in which the ventral and dorsal pancreatic ducts do not unite embryologically. As the majority of exocrine flow is routed through the MIP in individuals with pancreas divisum, interrelationships between poor function of the MIP and increased flow of pancreatic juice caused by alcohol or diet may increase dorsal pancreatic duct pressure and lead to the development of pancreatitis. Wire-guided minor sphincterotomy, followed by dorsal duct stenting, is recommended for acute recurrent pancreatitis associated with pancreas divisum.

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Anatomical segmentectomy of the head of the pancreas along the embryological fusion plane: A feasible procedure?

Cited by 38 publications

References 25 publications

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Total dorsal pancreatectomy for intraductal papillary mucinous neoplasm in a patient with pancreas divisum

Clinical significance of the minor duodenal papilla and accessory pancreatic duct

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