The outcomes of different pancreatodigestive anastomoses in pancreatoduodenectomy

Gevorkyan, Yu. A.; Maksimov, Alexey; Маслов, А. А.; Snezhko, Aleksandr V.; Kolesnikov, Evgeniy N.; Kozhushko, Mikhail Anatolievich; Myagkov, Roman E.

doi:10.17116/hirurgia2016643-46

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…В последние годы отмечается значительный рост заболеваний периампулярной зоны (ПЗ): периампулярные опухоли (ПО), кистозные образования головки поджелудочной железы (ПЖ), хронический панкреатит с поражением головки ПЖ, опухоли двенадцатиперстной кишки (ДПК), парафателярный дивертикул, язва ДПК, пенетрирующая в головку ПЖ, которые в большинстве случаев приводят к развитию обструктивного холестаза (ОХ) [1][2][3][4][5][6][7][8].…”

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The role of radiation navigation methods in determining surgical tactics in pathology of the periampular zone

Меджидов¹,

Sultanova²,

Hasanov³

2021

Medical news of the North Caucasus

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Хирургия original research Surgery БДА -билиодигестивный анастомоз БТ -билиарный тракт ГПДЗ -гастропанкреатодуоденальная зона ГПДР -гастропанкреатодуоденальная резекция ГПП -главный панкреатический проток ДПК -двенадцатиперстная кишка МРТ -магнитно-резонансная томография МсКТ -мультиспиральная компьютерная томография ОХ -обструктивный холестаз ПДР -панкреатодуоденальная резекция ПЖ -поджелудочная железа ПЗ -периампулярная зона ПО -периампулярная опухоль УЗИ -ультразвуковое исследование ХП -хронический панкреатит ЧЧХС -чрескожная чреспеченочная холангиостомия

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The role of radiation navigation methods in determining surgical tactics in pathology of the periampular zone

Меджидов¹,

Sultanova²,

Hasanov³

2021

Medical news of the North Caucasus

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“…Так, одним из самых частых осложнений в настоящее время бывает послеоперационная панкреатическая фистула [7], нередко приводящая к перитониту и кровотечению с последующим летальным исходом [8]. Это привело к тому, что актуальным направлением хирургии ПЖ стал поиск факторов риска развития послеоперационной панкреатической фистулы, методик наложения панкреатодигистивных анастомозов, а также методик обработки культи ПЖ [9,10]. Таким образом, накопление новых сведений об анатомии сосудов перешейка ПЖ и особенностях их топографии позволит совершенствовать технику оперативных вмешательств на ПЖ.…”

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The main arterial vessels of pancreatic isthmus and their importance in surgery

Tarasenko¹,

Tarakanov²,

Natalskiy³

et al. 2020

Kazan Med J

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Aim. To optimize the ways of cross-section of the pancreas in its isthmus, taking into account the topography of the main arteries of this area. Methods. 43 organocomplexes representing pancreas with duodenum were studied. Injection mass was injected into arterial vessels with subsequent fixation in 4% formalin solution and final preparation of complexes. The main arteries of the isthmus of the pancreas, their places of origin and topography were evaluated. Results. The main arteries of the isthmus of the pancreas are the peripancreatic artery and the additional artery of the isthmus of the pancreas. Peripancreatic artery was observed in 97.67% of cases; it departed from the dorsal pancreatic artery in 93% of cases, from the third branch of the splenic artery in 7% of cases. The diameter at the point of departure was 1.610.12 mm. In 95.3%, the artery passed along the lower edge of pancreatic isthmus. The peripancreatic artery was connected to the gastroduodenal artery or its branches. The diameter of peripancreatic artery at the junction was 1.550.1 mm. An additional artery of the isthmus of the pancreas was found in 93% of cases. In 76.74% it departed from the basin of the dorsal pancreatic artery, in 9.3% from another branch of the splenic artery, in 13.95% directly from the splenic artery itself. The diameter at the point of departure was 1.060.1 mm. It passed along the upper edge of pancreatic isthmus and connected to the pool of the gastroduodenal artery. The diameter at the junction was 0.980.1 mm. The diameter of peripancreatic artery was 1.950.05 mm in the trunk type versus 1.480.05 mm in the branched type of blood supply. The diameter of the additional artery of the isthmus of the pancreas had no pronounced changes depending on the type of blood supply to the pancreas. Conclusion. The topography of the main arteries of the isthmus of the pancreas is constant and does not depend on their diameter and place of origin. The most vascularized zones of the isthmus of the pancreas are its lower and upper edges.

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The outcomes of different pancreatodigestive anastomoses in pancreatoduodenectomy

Cited by 2 publications

References 4 publications

The role of radiation navigation methods in determining surgical tactics in pathology of the periampular zone

The role of radiation navigation methods in determining surgical tactics in pathology of the periampular zone

The main arterial vessels of pancreatic isthmus and their importance in surgery

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