Novosti
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This journal is indexed in Scopus |
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Year 2021 Vol. 29 No 2
GENERAL & SPECIAL SURGERY
S.V. TARASENKO, P.V. TARAKANOV, A.A. NATALSKIY, A.V. PAVLOV, N.A. PRONIN, A.YU. BOGOMOLOV
THE CHOICE OF THE OPTIMAL LEVEL OF INTERSECTION OF THE PANCREAS TAKING INTO ACCOUNT VARIANTS OF THE TOPOGRAPHY OF ARTERIAL VESSELS AND PANCREATIC DUCT
I.P.Pavlov Ryazan State Medical University, Ryazan,
The Russian Federation
Objective. To determine the optimal level of intersection of the pancreas based on the features of the topography of the arterial vessels and the pancreatic duct of the isthmus and the body of the pancreas.
Methods. 44 complexes of the upper floor of the abdominal cavity were studied. An injection mass with the subsequent fixation complexes in a formalin solution was introduced into the arterial vessels. The pancreatic tissue was crossed over the superior mesenteric vein along vertical lines drawn on one, two, three, four, and five cm to the left of the superior mesenteric vein. Depending on the diameter, the arteries were divided into the following types: 1 type (diameter - 0.5 - 1.0 mm); 2 type (diameter - 1.1 - 1.5 mm); 3 type (diameter more than 1.6 mm). The sections were used to assess the topography of the main tubular structures, the number and diameter of arterial vessels greater than 0.5 mm, the number of vessels of a certain type and the mean vessel diameter of this type.
Results. On the cross - section above the superior mesenteric vein, as well as on the section made 1 cm to the left of it, vessels of type 1 (0.5-1.0 mm) prevailed. At the same time, two more pronounced arterial vessels were noted. These arteries were located, as a rule, extra-organically and had a relatively constant topography. The location of the pancreatic duct corresponded to the central part of the section. On transverse sections of the pancreas made along lines located from 2 cm to 5 cm to the left of the superior mesenteric vein; up to 5 arterial vessels were recorded.The location of the arterial vessels was inconsistent and did not have limited topographic zones. On sections from 2 to 5 cm to the left of the superior mesenteric vein, damage to the dorsal pancreatic artery was noted, and on sections 4 and 5 cm to the left of the superior mesenteric vein, a peripheral location of the pancreatic duct was found.
Conclusion. The optimal level of intersection of the pancreas is the area above the superior mesenteric vein and 1 cm left of the superior mesenteric vein.
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390026, Russian Federation, Ryazan,
9, Vysokovoltnaya str.,
I.P.Pavlov Ryazan State Medical University,
the Department of Hospital Surgery,
tel. +7 910 578-97-07,
e-mail: lorey1983@mail.ru,
Natalskiy Alexandr A.
Tarasenko Sergey V., MD, Professor, Head of Hospital Surgery Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0002-1948-5453
Tarakanov Pavel V., Assistant of the anatomy Department, I.P. Pavlovyazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0002-8358-6603
Natalskiy Alexandr A., MD, Associate Professor, Professor of the Hospital Surgery Departyment, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0003-1590-9818
Pavlov Artem V., MD, Associate Professor of the Anatomy Department, Head of the Anatomy Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0002-8224-824X
Pronin Nikolay A., PhD, Senior Lecturer of the Anatomy Department, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0002-6355-8066
Bogomolov Aleksei Yu., Assistant of the Hospital Surgery, I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation.
http://orcid.org/0000-0001-8095-3968
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