Unit:
Κατεύθυνση Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Supervisors info:
Π. Σκανδαλάκης, Καθηγητής, Ιατρική, ΕΚΠΑ
Β. Πρωτογέρου, Αν/τής Καθηγητής, Ιατρική, ΕΚΠΑ
Θ. Δεμέστιχα, Επ. Καθηγήτρια, Ιατρική, ΕΚΠΑ
Original Title:
Τα αγγειακά τόξα του παγκρέατος: εμβρυολογία, ανατομία και κλινική σημασία
Translated title:
The vascular arcades of the pancreas: embryology, anatomy and clinical implications
Summary:
The pancreas is located in a confined and protected area, in close proximity and relation with the large abdominal blood vessels. In addition, the pancreas has a unique architecture and uniform blood supply through its vascular arcades. In the 1st part, the embryology of the pancreas is described, being intertwined with the embryology of the extrahepatic biliary tract and the duodenum. Embryology of the blood vessels is presented in the context of the embryology of the main arterial trunks of the abdomen, and in conjunction to the area that they supply. In the 2nd part, the arterial branches of the pancreas are described in detail. The system of vascular arcades is the subject of the 3rd part, whereas in the 4th part the possibilities and potentials given by the modern imaging techniques for preoperative mapping of the pancreatic vasculature and planning of the operation are discussed. Reported theories about pancreas segmentation, and their application on surgical resections, together with crucial Surgical Anatomy topics concerning these operations are briefly analyzed. Finally, the importance of the vascular arcades of the pancreas in the success of an operation or the possible complications is the subject of the 7th part of this essay. In the present literature review, the topics array and information from the international literature are discussed in an inductive way: data presented in each chapter is important for understanding data presented in the following parts. This information can therefore be organised and become established as knowledge, aiding the clinician in the comprehension a difficult and demanding field of surgery, and eventually apply this data in regular practice, performing a safe and successful operation.
Main subject category:
Health Sciences
Keywords:
Pancreas, Arterial arcades, Pancreatic segments, Pancreatic segmentectomy
