Long-term outcome of whole pancreatico-duodenal transplantation using arterial splenomesenteric anastomosis

Brunaud, Laurent; Collinet-Adler, Stefan; J, Hubert; Cormier, Laurent; Renoult, E.; Lalot, Jean-Marc; Bresler, L.; Boissel, P

doi:10.1016/s0041-1345(02)02766-5

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2010

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“…Finally, the splenomesenteric anastomosis using the distal SMA, this requires during the procurement of the organ distal dissection of the SMA into the mesentery of the bowel up to 10 cm, at the bench its sutured end‐to‐end to the proximal splenic artery of the graft, and the proximal SMA trunk will be the inflow conduit from the recipient’s vessels. With this technique, they have reported similar results to the classical Y‐graft in reference to vascular thrombosis and graft loss (19).…”

Section: Discussionmentioning

confidence: 74%

Orthotopic placement of a segmental pancreas graft for transplant: a case report

Garcia-Roca

Humar

Sturdevant

et al. 2010

Clinical Transplantation

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Pancreas retransplantation has become more frequent and represents a technical challenge for surgeons. Knowledge of alternative surgical options could be useful in difficult cases. We present a case of brutal diabetes mellitus in a patient with severe vascular disease that underwent a third pancreas transplant. Difficulties in obtaining arterial inflow were solved utilizing the native splenic vessels, placing the graft in orthotopic position, and a combination of historical surgical techniques in pancreas transplantation; that is, segmental grafts and duct injection for exocrine management made transplantation successful.

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Section: Discussionmentioning

confidence: 74%