Mourad N, Zhang J, Rath A M, Chevrel J P
Laboratoire d'Anatomie, Faculté de Médecine d'Alep, Syrie.
Surg Radiol Anat. 1994;16(1):37-45. doi: 10.1007/BF01627919.
With the aim of clarifying certain contradictory aspects of the description of the venous drainage of the pancreas, a review of the literature and an anatomic study were carried out. Fifty duodeno-pancreatic blocks were studied by the injection-corrosion technique, of which 45 were available for study of the right pancreas and 37 for that of the left pancreas. The venous drainage of the duodeno-pancreas is effected via two territories: a posterosuperior and an anteroinferior, the former draining toward the portal v. and the second into the superior mesenteric v. The borderline between the two is represented by the inferior posterior pancreatico-duodenal (IPPD) v. Four veins ensure duodeno-pancreatic drainage: the superior anterior, inferior anterior, superior posterior and inferior posterior pancreatico-duodenal vv. (SAPD, IAPD, SPPD and IPPD). The major vein of the ventral aspect is the SAPD; that of the dorsal aspect is the SPPD. Two arches, anterior and posterior, were found in the majority of cases. The left pancreas drains into the splenic v. via several collateral branches. Other veins participate in the venous drainage of the isthmus, body and tail of the pancreas, including the inferior or transverse pancreatic v.
为了阐明胰腺静脉引流描述中某些相互矛盾的方面，我们进行了文献综述和解剖学研究。采用注射腐蚀技术研究了50个十二指肠 - 胰腺标本块，其中45个可用于研究胰腺右侧，37个可用于研究胰腺左侧。十二指肠 - 胰腺的静脉引流通过两个区域进行：一个是后上区域，另一个是前下区域，前者引流至门静脉，后者引流至肠系膜上静脉。两者之间的边界由胰十二指肠下后静脉（IPPD）表示。四条静脉负责十二指肠 - 胰腺的引流：胰十二指肠上前静脉、胰十二指肠下前静脉、胰十二指肠上后静脉和胰十二指肠下后静脉（SAPD、IAPD、SPPD和IPPD）。腹侧的主要静脉是SAPD；背侧的主要静脉是SPPD。在大多数情况下发现了前后两个弓状静脉。胰腺左侧通过几个侧支分支引流至脾静脉。其他静脉参与胰腺峡部、体部和尾部的静脉引流，包括胰下静脉或胰横静脉。
