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胰腺淋巴系统的手术解剖学

The surgical anatomy of the lymphatic system of the pancreas.

作者信息

Cesmebasi Alper, Malefant Jason, Patel Swetal D, Du Plessis Maira, Renna Sarah, Tubbs R Shane, Loukas Marios

机构信息

Departments of Neurologic and Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota; Department of Anatomical Sciences, School of Medicine, St George's University, Grenada, West Indies.

出版信息

Clin Anat. 2015 May;28(4):527-37. doi: 10.1002/ca.22461. Epub 2014 Sep 15.

Abstract

The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body, and tail of the pancreas. Its anatomical divisions and embryological development have been well described in the literature with emphasis on its clinical relevance in regards to pancreatic pathologies. A thorough knowledge and understanding of the lymphatic system surrounding the pancreas is critical for physicians in providing diagnostic and treatment strategies for patients with pancreatic cancer and pancreatitis. Pancreatic cancer has an extremely poor prognosis and is a notable cause of morbidity and mortality worldwide. Although a surgeon may try to predict the routes for metastasis for pancreatic cancer, the complexity of this system presents difficulty due to variable drainage patterns. Pancreatitis also presents as another severe disease which has been shown to have an association with the lymphatics. The aim of this article is to review the literature on the lymphatics of the pancreas, pancreatic pathologies, and the available imaging methodologies used to study the pancreatic lymphatics.

摘要

胰腺的淋巴系统是一个由淋巴管和淋巴结组成的复杂、精细的网络,负责胰腺头部、颈部、体部和尾部的引流。其解剖分区和胚胎发育在文献中已有详细描述,重点在于其在胰腺疾病方面的临床相关性。全面了解胰腺周围的淋巴系统对于医生为胰腺癌和胰腺炎患者提供诊断和治疗策略至关重要。胰腺癌的预后极差,是全球发病和死亡的一个重要原因。尽管外科医生可能试图预测胰腺癌的转移途径,但由于引流模式的多变,该系统的复杂性带来了困难。胰腺炎也是另一种已被证明与淋巴管有关的严重疾病。本文的目的是综述关于胰腺淋巴管、胰腺疾病以及用于研究胰腺淋巴管的现有成像方法的文献。

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