Surgical Anatomy of the Pancreas

Abstract


According to the Ministry of health, the Russian Federation has experienced growth in the number of people with newly diagnosed diseases of the pancreas and, accordingly, increase of operational activity in the treatment of these diseases. The development of pancreatic surgery requires a deeper study of the peculiarities of her anatomy, normal and pathological conditions. In addition, a number of surgical diseases of abdominal cavity organs accompanied by clinical symptoms caused by the changes of the pancreas, involved in the pathological process. Knowledge of anatomy and relationships of the pancreas with other bodies necessary for a choice of surgical tactics and feasibility stages of surgical interventions, identify opportunities volume of surgical treatment and development of new technologies, which is a pressing issue of practical surgery.

I.M. Sechenov First Moscow State Medical University, 8 Trubetskaia Str., 119991, Moscow, Russian
Federation
Institute of improvement of doctors MONKS, 7 Malaia Cherkizovskaia Str., Moscow, 107392, Russian
Federation

Author for correspondence.
Email: Milyucov@mail.ru
Professor, MD, 1 Department of human anatomy of the medical faculty of the First Moscow state medical University. Sechenov; the chair of military field surgery of the Institute of improvement of doctors MONKS Imperia MO of the Russian Federation

N.V. Sklifosovskii Scientific Research Institute of First Aid, 3 Sukharevskaia Pl., Moscow, 129010, Russian
Federation

Email: deadmaster_89@mail.ru
clinical resident at the Department of emergency surgical gastroenterology, scientific research Institute of first aid named N.V. Sklifosovsky

  1. Abdulkhakova A.R., Abdulkhakov S.R., Titova M.A Mozhet byt' istochnikom razvitiya gepatotsitov podzheludochnoy zhelezy?
  2. [Can be a source of pancreas development hepatocytes?]
  3. Kletochnaia transplantologiia i tkanevaia inzheneriia.
  4. ; 7(3): 21-24.
  5. Akmaev I.G., Grinevich V.V. Neiro-immunoendokrinologiia
  6. gipotalamusa [Neuro-immunoendocrinology
  7. of the hypothalamus].
  8. Moscow: Meditsina
  9. Publ., 2003; 168.
  10. Akstilovich I.Ch. Arteriya golovki podzheludochnoy zhelezy cheloveka [ Artery of the pancreatic head man]. Vestnik
  11. Vitebskogo gosudarstvennogo meditsinskogo universiteta.
  12. ; 8(4): 13-20.
  13. Akhramov E.Kh., Vasil'eva O.I., Gabitov V.Kh. Anatomicheskiye i topograficheskiye osobennosti podzheludochnoy zhelezy i obosnovaniye
  14. khirurgii v destruktivnykh formakh pankreatita [Anatomical
  15. and topographical features of the pancreas and the rationale
  16. of surgery in destructive forms of pancreatitis].
  17. Morfologiia.2008; 10: 20-23.
  18. Bystrovskaia E.V, Il'chenko A.A., Drozdov V.N. Izmeneniye kontsentratsii v kholetsistokinin-pankreozimina
  19. u patsiyentov s zhelchnokamennoy bolezn'yu do i posle kholetsistektomii
  20. [Concentration change cholecystokinin-pancreozymin in
  21. patients with cholelithiasis before and after cholecystectomy].
  22. Eksperimental'naia i klinicheskaia gastroenterologiia.
  23. ; 4: 28-32.
  24. Eltyshev N.A. Tekushchiy diagnostika i lecheniye bol'nykh
  25. pri rake golovki podzheludochnoy zhelezy, oslozhnennoy zheltukhoy
  26. sindrom [Current diagnosis and treatment of patients
  27. with cancer of the pancreatic head, complicated by jaundice
  28. syndrome]. Vestnik Rossiiskogo universiteta druzhby
  29. narodov. 2010; 4: 52-56.
  30. Ermolov A.S. Chrezvychaynoye polozheniye v ostrykh khirurgicheskikh zabolevaniy organov bryushnoy polosti v meditsinskikh uchrezhdeniyakh Moskvy i mery po yeye uluchsheniyu [State of emergency in acute surgical diseases
  31. of the abdominal cavity in the medical institutions of
  32. Moscow and the measures for its improvement].
  33. Khirurg.2011; 8: 4-10.
  34. Zakharov O.P., Karmazanovskii G.G., Egorov V.I. Rak podzheludochnoy zhelezy: sovremennaya diagnostika i otsenka KT
  35. iz rezektabel'nosti (obzor literatury)]
  36. [Pancreatic cancer: modern CT diagnosis and evaluation
  37. of resectability (literature review)]. Diagnosticheskaia i
  38. interventsionnaia radiologiia. 2011; 5(2): 85-90.
  39. Ivanov V.A., Kokhan E.P., Beliakin S.A. Endovaskulyarnaya diagnostika i lecheniye okklyuzionnykh i stenoticheskimi
  40. porazheniy neparnykh vistseral'nykh arteriy bryushnoy
  41. aorta [Endovascular
  42. diagnosis and treatment of occlusive and stenotic
  43. lesions unpaired visceral arteries of the abdominal
  44. aorta]. Mezhdunarodnyi zhurnal interventsionnoi
  45. kardioangiologii. 2010; 23: 26-31.
  46. Kalandarishvili M.O. Klinicheskaya anatomiya selezenochnoy arterii i veny (obzor literatury [Clinical anatomy of the splenic artery
  47. and vein (literature review)]. Morfologicheskie vedomosti.
  48. ; 1(1-2): 278-280. .
  49. Kolganova K.A. Khronicheskiy pankreatit i ekzokrinnoy
  50. metody korrektsii nedostatochnosti [Chronic pancreatitis and exocrine
  51. insufficiency correction methods]. Russkii meditsinskii
  52. zhurnal. 2009; 17(5): 328-331.
  53. Kubyshkin V.A., Kozlov I.A., Iashina N.I. Obosnovaniye vybora metoda khirurgicheskogo lecheniya khronicheskogo pankreatita [ Justification
  54. of the choice of method of surgical treatment of chronic
  55. pancreatitis]. Biulleten' sibirskoi meditsiny. 2007; 6(3): 43-
  56. Kubyshkin V.A., Kriger A.G., Tsygankov V.N. Lecheniye bol'nykh s khronicheskim pankreatitom, oslozhnennym lozhnym
  57. anevrizma chrevnogo stvola arterii basseyn i prevoskhodnyy
  58. bryzheyechnoy arterii [Treatment
  59. of patients with chronic pancreatitis complicated by a false
  60. aneurysm of the celiac trunk arteries pool and the superior
  61. mesenteric artery]. Vestnik eksperimental'noi i klinicheskoi
  62. khirurgii. 2012; 5(1): 12-21
  63. Liashchenko S.N. PIN-Vivo anatomiyu i topografiyu zabryushinnoy fastsii [PIn vivo anatomy and topography of the
  64. retroperitoneal fascia]. Rossiiskii mediko-biologicheskii
  65. vestnik im. akademika I.P. Pavlova. 2011; 1: 14-19.
  66. Maev I.V., Kucheriavyi Iu.A. Bolezni podzheludochnoi
  67. zhelezy: prakticheskoe rukovodstvo [Diseases of the
  68. pancreas: a practical guide]. Moscow: Meditsina Publ.,
  69. ; 736.
  70. Moldavskaia A.A., Savishchev A.V. Sovremennyye tendentsii v izuchenii morfologii podzheludochnoy zhelezy vo vremya
  71. embrional'noye razvitiye [Current trends in
  72. the study of the morphology of the pancreas during
  73. embryogenesis]. Fundamental'nye issledovaniia. 2011; 5:
  74. -217.
  75. Nazarenko P.M., Nazarenko D.P., Loktionov A.L. Khirurgicheskaya anatomiya terminal'noy chasti obshchego zhelchnogo protoka [Surgical
  76. anatomy of the terminal part of the common bile duct].
  77. Annaly khirurgicheskoi gepatologii. 2010; 15(4): 46-52.
  78. Pugaev A.V., Achkasov E.E., Kalachev S.V. Podavleniye sekretsii podzheludochnoy zhelezy pri lechenii bol'nykh s ostrym
  79. pankreatit [Inhibition of
  80. pancreatic secretion in the treatment of patients with acute
  81. pancreatitis]. Annaly khirurgicheskoi gepatologii. 2006;
  82. (4): 10-14.
  83. Savishchev A.V. Etapy i stadii formirovaniya podzheludochnoy zhelezy cheloveka [Stages and stage of formation of human
  84. Pancreatic]. Fundamental'nye issledovaniia. 2010; 9: 97-104.
  85. Sotnikov A.A. Klinicheskaia anatomiia protokov
  86. podzheludochnoi zhelezy [Clinical anatomy of the
  87. pancreatic ducts]. Novosibirsk,
  88. ; 30.
  89. Tarasov A.N. Spornyye voprosy i rezektsiya transplantatsiya podzheludochnoy zhelezy s tochki zreniya osobennostey yeye krovosnabzheniya [Controversial issues resection and pancreas
  90. transplantation in terms of the features of its blood supply].
  91. Sibirskii meditsinskii zhurnal. 2010; 25(3): 90-93.
  92. Titov V.N. Funktsiya mitokhondriy, karnitin,
  93. Koenzim A, zhirnyye kisloty, glyukoza, i insulin tsikl Rendla
  94. (Lektsiya) [The function of mitochondria, carnitine,
  95. coenzyme A, fatty acids, glucose, and insulin cycle Rendla
  96. (lecture)]. Klinicheskaia laboratornaia diagnostika. 2012; 2:
  97. -42.
  98. Khenderson D.M. Funktsiya mitokhondriy, karnitin, koenzim A zhirnyye kisloty, Glyukoza ya insulin TSIKL Rendla
  99. (Lektsiya) [Funktsiya mitokhondriy, karnitin,
  100. Koenzim A, zhirnyye kisloty, glyukoza, i insulin tsikl Rendla
  101. (Lektsiya)].
  102. Nevskii Dialekt, 1997; 287.
  103. Ship S.V. Klinicheskaia anatomiia kriuchkovidnogo
  104. otrostka podzheludochnoi zhelezy [Clinical anatomy of
  105. the pancreas process hooklike]. Cand. Diss. (Med. Sci.).
  106. Novosibirsk, 2005; 15.
  107. Adam U., Makowiec F., Riediger H. et al. Faktory riska razvitiya oslozhneniy posle rezektsii golovki podzheludochnoy zhelezy [Risk factors for
  108. complications after pancreatic head resection]. Am J Surg.
  109. ; 187(20): 1–8.
  110. Arakaki R.F. Etnicheskiye razlichiya i izmeneniya b-kletok [Ethnic differences and β-cell changes]. The
  111. Journal of Clinical Endocrinology & Metabolism. 2013;
  112. (9): 3595-3597.
  113. Berberat P.O., Friess H., Kleeff J. et al. Profilaktika i lecheniye oslozhneniy v khirurgii raka podzheludochnoy zhelezy [Prevention and
  114. treatment of complications in pancreatic cancer surgery].
  115. Dig Surg. 1999; 16: P. 327–336.
  116. Bockman D.E. Anatomy of the pancreas. In: Go VLW et al. Podzheludochnaya zheleza: biologiya, patobiologii i bolezni, 2-ye izd
  117. [The pancreas: biology, pathobiology and disease, 2nd ed].
  118. New York: Raven Press. 1993; 1-8.
  119. Büchler M.W., Wagner M., Schmied B.M. et al. Izmeneniya smertnosti posle rezektsii podzheludochnoy zhelezy: k kontsu
  120. zaversheniye pankreatektomiya [Changes
  121. in mortality after pancreatic resection: towards the end of
  122. completion pancreatectomy]. Arch Surg. 2003; 138: 1310–
  123. Chen N., Unnikrishnan I.R., Anjana R.M., et al. Kompleks ekzokrinnoy-endokrinnyye otnosheniya i vtorichnyye
  124. Diabet v ekzokrinnykh podzheludochnoy zhelezy [The
  125. complex exocrine-endocrine relationship and secondary
  126. diabetes in exocrine pancreatic disorders]. //Journal of
  127. clinical gastroenterology. 2011; 45(10): 850-861.
  128. Czakó L., Hegyi P., Rakonczay Z.Jr. et al. Vzaimodeystviye mezhdu endokrinnoy i ekzokrinnoy podzheludochnoy zhelezy, a takzhe ikh
  129. klinicheskaya znachimost' [Interactions
  130. between the endocrine and exocrine pancreas and their
  131. clinical relevance]. Pancreatology, 2009; 9(4): 351-359.
  132. Fahy B.N., Frey C.F., Ho H.S. et al. Zabolevayemost', smertnost', a takzhe tekhnicheskiye faktory distal'nogo pankreatektomii [Morbidity, mortality,
  133. and technical factors of distal pancreatectomy].Am J Surg.
  134. ; 183: 237–241.
  135. Freeman H.J. Pankreaticheskikh ekzokrinnykh i endokrinnykh izmeneniy v tseliakii [Pancreatic endocrine and exocrine changes
  136. in celiac disease]. World Journal of Gastroenteroly. 2007;
  137. (47): 6344-6346.
  138. Ito T., Kawabe K., Arita Y., et al. Otsenka pankreaticheskikh endokrinnykh i ekzokrinnoy funktsii u patsiyentov s
  139. autoimmunnyy pankreatit [Evaluation of pancreatic
  140. endocrine and exocrine function in patients with
  141. autoimmune pancreatitis]. Pancreas. 2007; 34(2): 254-259.
  142. Kabbani T.A., Kelly C.P., Betensky R.A. et al. U patsiyentov s tseliakiyey imeyut boleye nizkuyu rasprostranennost' neinsulinzavisimyy
  143. sakharnyy diabet i metabolicheskiy sindrom [Patients
  144. with celiac disease have a lower prevalence of non-insulindependent
  145. diabetes mellitus and metabolic syndrome].
  146. Gastroenterology. 2013; 144(5): 912-917.
  147. Madsen O.D., Jensen J., Blume N. et al. Podzheludochnaya razvitiye i sozrevaniye V-kletok ostrovkov Langergansa [Pancreatic
  148. development and maturation of the islet B cell].Febs journal.
  149. ; 242(3): 435-445.
  150. Murakami G., Hirata K., Takamuro T. et al. Sosudistaya anatomiya pankreatoduodenal'noy oblasti: obzor [Vascular
  151. anatomy of the pancreaticoduodenal region: a rewiew].
  152. Journal of hepato-biliary-pancreatic surgery. 1999; 6(1):
  153. -68.
  154. Park J.W., Jang J.Y., Kim E.J. et al. Effekty pankreatektomii yavlyayetsya pitatel'noy sostoyaniya, funktsii podzheludochnoy zhelezy i kachestvo zhizni [Effects of pancreatectomy
  155. on nutritional state, pancreatic function and quality of life].
  156. British Journal of Surgery. 2013; 100(8): 1064-1070.
  157. Rhodes C.J., White M.F., Leahy J.L. AUTOKRINNOY Pryamoye deystviye insulina yavlyayetsya beta-kletki: Imeyet li fiziologicheskom
  158. Smysl? [Direct Autocrine
  159. Action of Insulin on β-Cells: Does It Make Physiological
  160. Sense?] Diabetes. 2013; 62(7): 2157-2163.
  161. Sanjay P., Takaori K., Govil S., et al. «Arteriya-pervykh" podkhody k pancreatoduodenectomy [«Artery-first»
  162. approaches to pancreatoduodenectomy]. British Journal of
  163. Surgery. 2012, 99(8): 1027–1035.
  164. Simeone D.M., Pandol S.J. Podzheludochnaya zheleza: biologiya, bolezni, i terapiya [The pancreas: biology, diseases,
  165. and therapy]. Gastroenterology. 2013; 144(6): 1163-1165.
  166. Stanger B., Hebrok M. Kontrol' identichnosti kletok podzheludochnoy zhelezy v razvitii i regeneratsii [ Control of cell identity in pancreas
  167. development and regeneration].Gastroenterology. 2013;
  168. : 1170–1179.
  169. Szczepaniak E.W., Malliaras K., Nelson M.D. et al. Izmereniye ob"yema podzheludochnoy zhelezy bryushnoy polosti MRT: issledovaniye proverki
  170. [Measurement of pancreatic volume by abdominal MRI: a
  171. validation study]. PLoS One, 2013; 8(2): e55991.
  172. Toyohiko U., Tadahiro T., Basil J.A. et al. Trekhmernaya rekonstruktsiya bryushnoy i spinnoy podzheludochnoy zhelezy: novyy
  173. ponimaniye anatomii i embrional'nogo razvitiya [Three-dimensional
  174. reconstruction of the ventral and dorsal pancreas: a new
  175. insight into anatomy and embryonic development].
  176. Journal
  177. of hepato-biliary-pancreatic surgery. 1999; 6(2):176-180.
  178. Tsutsumi M., Arakawa T., Terashima T. et al. Morfologicheskiy analiz vetvey spinnogo podzheludochnoy arterii i
  179. Ikh klinicheskoye znacheniye [Morphological
  180. analysis of the branches of the dorsal pancreatic artery and
  181. their clinical significance].
  182. Clinical Anatomy. 2013; 8: doi:
  183. 1002/ca.22331.
  184. Verbeke C.S., Menon K.V. Pereosmysleniye status kraya rezektsii pri rake podzheludochnoy zhelezy [ Redefining resection margin
  185. status in pancreatic cancer].
  186. HPB (Oxford). 2009; 11(4): 282-
  187. Weiss F.U., Halangk W., Lerch M.M. Novyye dostizheniya v oblasti fiziologii podzheludochnoy zhelezy kletki i patofiziologii [New advances in
  188. pancreatic cell physiology and pathophysiology]. Best
  189. Practice & Research Clinical Gastroenterology. 2008;
  190. (1): 3-15.
  191. Yang S. H., Yin Y. H., Jang J. Y. et al. Otsenka pechenochnoy arterial'noy anatomii v sootvetstvii s sokhraneniyem
  192. vaskulatura pri vypolnenii pancreatoduodenectomy:
  193. mneniye [Assessment of
  194. hepatic arterial anatomy in keeping with preservation of the
  195. vasculature while performing pancreatoduodenectomy: an
  196. opinion]. World J. Surg. 2007; 31: 2384-2391.
  197. Zamboni G., Hirabayashi K., Castelli P. et al. Predrakovykh porazheniy podzheludochnoy zhelezy [Precancerous
  198. lesions of the pancreas]. Best Practice & Research Clinical
  199. Gastroenterology. 2013; 27(2): 299-322.
  200. Zhang R.C., Yan J.F., Xu X.W., et al. Laparoskopicheskaya protiv otkrytogo distal'nogo pankreatektomii dlya tverdykh pseudopapillary opukholi
  201. podzheludochnoy zhelezy [Laparoscopic vs open
  202. distal pancreatectomy for solid pseudopapillary tumor
  203. of the pancreas]. World Journal of Gastroenteroly. 2013;
  204. (37): 6272-6277.

Views

Abstract - 108

PDF (Russian) - 320

PlumX

Dimensions


Copyright (c) 2014 ., .

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies