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犬胰腺左叶的动脉血供。I. 与节段性移植相关的解剖变异

Arterial blood supply of the left lobe of the canine pancreas. I. Anatomic variations relevant to segmental transplantation.

作者信息

van Schilfgaarde R, Gooszen H G, Overbosch E H, Terpstra J L

出版信息

Surgery. 1983 Apr;93(4):545-8.

PMID:6340232
Abstract

The anatomy of the arterial blood supply of the left lobe of the pancreas was studied in 70 beagles. It was found to be supplied by one small artery only, which was called the pancreatic artery. The pancreatic artery originated from the splenic artery (type I) in 56 dogs (80%). However, it originated from the cranial mesenteric artery (type II) in 14 dogs (20%). In the presence of type I anatomy, the surgical technique for segmental pancreatic transplantation can, in general, be performed in a routine fashion. In the presence of type II anatomy, a modification should be applied. This modification is described and illustrated. It is concluded that the pancreatic artery should always be identified at operation, and that the specific surgical procedure chosen should depend upon the anatomy found. In addition, ischemic necrosis of segmental pancreatic grafts can only be explained by vascular thrombosis if the pancreatic artery has been recognized and preserved with certainty at transplantation.

摘要

对70只比格犬的胰腺左叶动脉血供解剖结构进行了研究。发现其仅由一条小动脉供血,该动脉被称为胰动脉。在56只犬(80%)中,胰动脉起源于脾动脉(I型)。然而,在14只犬(20%)中,它起源于肠系膜前动脉(II型)。在存在I型解剖结构的情况下,节段性胰腺移植的手术技术通常可以按常规方式进行。在存在II型解剖结构的情况下,应采用一种改良方法。描述并说明了这种改良方法。得出的结论是,手术中应始终识别出胰动脉,并且所选择的具体手术方法应取决于所发现的解剖结构。此外,只有在移植时已明确识别并保留胰动脉的情况下,节段性胰腺移植物的缺血性坏死才能用血管血栓形成来解释。

相似文献

1
Arterial blood supply of the left lobe of the canine pancreas. I. Anatomic variations relevant to segmental transplantation.犬胰腺左叶的动脉血供。I. 与节段性移植相关的解剖变异
Surgery. 1983 Apr;93(4):545-8.
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The acute effects of pancreaticopyelostomy on the pancreas and kidney. A preliminary study.胰肾吻合术对胰腺和肾脏的急性影响:一项初步研究。
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