Author/Authors :
Covantev, S Laboratory of Allergology and Clinical Immunology - State University of Medicine and Pharmacy “Nicolae Testemitanu” - Chisinau - Moldova , Mazuruc, N Department of Human Anatomy - State University of Medicine and Pharmacy “Nicolae Testemitanu” - Chisinau - Moldova , Belic, O Department of Human Anatomy - State University of Medicine and Pharmacy “Nicolae Testemitanu” - Chisinau - Moldova
Abstract :
'e pancreatic surgery field has evolved greatly over the previous years. Nevertheless, the vascularization of the pancreas remains a difficult subject and requires further attention. 'e study was conducted using macroscopical dissection and corrosion cast methods. 'e total number of organ blocks was 72 (50 for dissection and 22 for corrosion cast). Based on the data obtained by dissection, we can distinguish three major types of vascularization of the distal pancreas. In type one, the pancreas was vascularized only by the short branches of the splenic artery and was encountered in 18 cases (36%). In type two, the pancreas was
vascularized by the long and short branches of the splenic artery and was encountered in 20 cases (40%). In type three, the
pancreas was vascularized only by the long branches of the splenic artery in 12 cases (24%). Compared to that, the corrosion cast
method demonstrated type 1 in 8 cases (36.36%), type 2 in 10 cases (45.46%), and type 3 in 4 cases (18.18%). During the dissection,
there were no arteries to the tail of the pancreas in 13 (26%) cases, one artery in 15 (30%) cases, two arteries in 19 (38%), and three
arteries in three (6%) cases. 'e 22 corrosion cast specimens were also evaluated based on the classification of Roman Ramos and
coworkers. Type I (small arcades) was in 9 (40.90%) cases, type II (small and large arcades) was in 7 (31.82%) cases, type III (large
arcades) was in 5 (22.73%) cases, and type IV (straight branches) was in 1 (4.55%) case. 'e corrosion cast method allowed us to
determine no arteries to the tail in 4 (18.18%) cases, one artery in 6 (27.27%) cases, two arteries in 10 (45.46%) cases and three
arteries in two (9.09%) cases. the vascularization of the distal part of the pancreas is highly variable and should be taken into consideration during surgery.
Keywords :
Arterial Supply , Distal Part , Pancreas , pancreatic surgery