The Arterial Supply of the Distal Part of the Pancreas

Covanţev, Serghei; Mazuruc, Natalia; Belic, Olga

doi:10.1155/2019/5804047

Cited by 25 publications

(22 citation statements)

References 28 publications

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“…Warshaw’s technique (WT) is recommended for these cases because dissection of splenic vessels out of the pancreatic body may wreck the integrity of the margins around the cancer[ 46 ]. Pancreatic branches originating from the distal SA and/or inferior branch of SA could provide the arterial supply to the pancreatic stump[ 47 ]. Left gastroepiploic and short gastric veins are crucial to venous return of the spleen and pancreatic remnant.…”

Section: Discussionmentioning

confidence: 99%

Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes

You¹,

Yang²,

Mao³

et al. 2020

WJGS

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Section: Discussionmentioning

confidence: 99%

Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes

You¹,

Yang²,

Mao³

et al. 2020

WJGS

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“…The TPA generally branches from the dorsal pancreatic artery, and runs behind the pancreas [ 6 , 7 ]. Therefore, aneurysm rupture at the TPA causes bleeding in the retroperitoneum.…”

Section: Discussionmentioning

confidence: 99%

“…The TPA generally branches from the dorsal pancreatic artery, which originates from the splenic artery, the common hepatic artery, the SMA, and the celiac artery, or directly from the splenic or SMA [ 5 – 8 ]. Only approximately 2.5% of the TPA directly branches from the SMA and supplies blood to the underside of the pancreas [ 6 , 9 ]. We report a case of a ruptured aneurysm of the TPA originating from the SMA that required urgent surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Surgical resection of a ruptured transverse pancreatic artery aneurysm

et al. 2021

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Background Visceral artery aneurysms are rare, but they may cause heavy bleeding and high mortality. In addition, aneurysms originating from the superior mesenteric artery (SMA) account for only 1% of visceral artery aneurysms. We report the rare case of a ruptured transverse pancreatic artery aneurysm originating from the SMA that required urgent surgical treatment. Case presentation A 66-year-old woman presented with acute back pain after lunch, and she was transported by ambulance. She had upper quadrant spontaneous pain and moderate tenderness, but no guarding or rebound pain. She had rheumatoid arthritis, and was taking 10 mg of steroids per day. Contrast-enhanced computed tomography demonstrated a retroperitoneal hematoma spreading to the ventral side of the left kidney and extravasation of contrast agent from a branch of the SMA. We diagnosed rupture of aneurysm. We conferred with our IVR team on treatment strategy for the ruptured aneurysm. In addition, we finally selected operation, since the branch of the SMA to the aneurysm was too thin and complex to conduct IVR. For this reason, we performed emergency simple aneurysmectomy of the transverse pancreatic artery. The postoperative course was relatively smooth. Conclusion Rupture of a transverse pancreatic artery aneurysm originating from the SMA is rare. However, when diagnosing patients with acute abdomen or back pain, we should consider rupture of a visceral artery aneurysm. Endovascular treatment may currently be common for ruptured visceral artery aneurysms, but we should flexibly treat them according to the patient’s condition and facility considerations.

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“…Однако, несмотря на то, что тема кровоснабжения ПЖ является достаточно хорошо изученным вопросом, топография артериальных сосудов перешейка ПЖ раскрыта в настоящее время в весьма малом объеме. Так, лишь ряд авторов упоминают про перипанкреатическую артерию, проходящую по перешейку поджелудочной железы [3,8] [7].…”

Section: Discussionunclassified

The Choice of the Optimal Level of Intersection of the Pancreas Taking Into Account Variants of the Topography of Arterial Vessels and Pancreatic Duct

Tarasenko¹,

Tarakanov²,

Natalskiy³

et al. 2021

Novosti Khirurgii

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Objective. To determine the optimal level of intersection of the pancreas based on the features of the topography of the arterial vessels and the pancreatic duct of the isthmus and the body of the pancreas. Methods. 44 complexes of the upper floor of the abdominal cavity were studied. An injection mass with the subsequent fixation complexes in a formalin solution was introduced into the arterial vessels. The pancreatic tissue was crossed over the superior mesenteric vein along vertical lines drawn on one, two, three, four, and five cm to the left of the superior mesenteric vein. Depending on the diameter, the arteries were divided into the following types: 1 type (diameter - 0.5 - 1.0 mm); 2 type (diameter - 1.1 - 1.5 mm); 3 type (diameter more than 1.6 mm). The sections were used to assess the topography of the main tubular structures, the number and diameter of arterial vessels greater than 0.5 mm, the number of vessels of a certain type and the mean vessel diameter of this type. Results. On the cross - section above the superior mesenteric vein, as well as on the section made 1 cm to the left of it, vessels of type 1 (0.5-1.0 mm) prevailed. At the same time, two more pronounced arterial vessels were noted. These arteries were located, as a rule, extra-organically and had a relatively constant topography. The location of the pancreatic duct corresponded to the central part of the section. On transverse sections of the pancreas made along lines located from 2 cm to 5 cm to the left of the superior mesenteric vein; up to 5 arterial vessels were recorded.The location of the arterial vessels was inconsistent and did not have limited topographic zones. On sections from 2 to 5 cm to the left of the superior mesenteric vein, damage to the dorsal pancreatic artery was noted, and on sections 4 and 5 cm to the left of the superior mesenteric vein, a peripheral location of the pancreatic duct was found. Conclusion. The optimal level of intersection of the pancreas is the area above the superior mesenteric vein and 1 cm left of the superior mesenteric vein. What this paper adds It was revealed that the region of the pancreas from the superior mesenteric vein to 1 cm left of the superior mesenteric vein is considered to be the most optimal for transection of the pancreatic tissue from the anatomical point of view. Here, as a rule, two arterial vessels meet. It was found that the topography of these arteries is relatively constant, which makes it possible to suture them selectively.

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The Arterial Supply of the Distal Part of the Pancreas

Cited by 25 publications

References 28 publications

Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes

Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes

Surgical resection of a ruptured transverse pancreatic artery aneurysm

The Choice of the Optimal Level of Intersection of the Pancreas Taking Into Account Variants of the Topography of Arterial Vessels and Pancreatic Duct

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