Vascular supply of postresection pancreatic remnant after pancreaticoduodenectomy: A cadaveric study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F23%3A10467564" target="_blank" >RIV/00064203:_____/23:10467564 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/23:10467564

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=tFQyQo9g1k" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=tFQyQo9g1k</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/MD.0000000000035049" target="_blank" >10.1097/MD.0000000000035049</a>

Result language

angličtina

Original language name

Vascular supply of postresection pancreatic remnant after pancreaticoduodenectomy: A cadaveric study

Original language description

OBJECTIVES: The vascular supply to the neck and body of the pancreas is highly variable. The dorsal pancreatic artery is the dominant artery feeding this area. The aim of this study was to describe the vascular supply of postresection pancreatic remnants after pancreaticoduodenectomy. Patients with hazardous anatomical arrangement may be at a higher risk of postresection remnant ischemia and postoperative pancreatic fistula development. METHODS: The modified Whipple procedure was performed on 20 cadaveric donors. The macroscopic anatomical supply of the postresection pancreatic remnant of each donor was evaluated. RESULTS: The arterial supply of the postresection remnant was highly variable. In 30% of cases (6/20), the dorsal pancreatic artery was cut during the pancreatoduodenectomy or it was missing. In these cases, the area of the pancreaticojejunostomy construction was fed only through anastomoses between the transverse pancreatic artery and the pancreatic branches of the splenic artery. CONCLUSIONS: In 30% of cases, the arterial supply of the postresection pancreatic remnant was dependent on inconstant intraparenchymal arterial anastomoses. These patients may be at a higher risk of postoperative pancreatic fistula development.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Medicine

ISSN

0025-7974

e-ISSN

1536-5964

Volume of the periodical

102

Issue of the periodical within the volume

36

Country of publishing house

US - UNITED STATES

Number of pages

5

Pages from-to

e35049

UT code for WoS article

001162300500001

EID of the result in the Scopus database

2-s2.0-85170172359