췌두부십이지장 영역의 혈관해부학 연구
Vascular Anatomy of the Pancreaticoduodenal Region
이태희, 박동은, 소병준, 채권묵,
소속 상세정보
이태희 ( Lee Tae-Hee )
원광대학교 의과대학 외과학교실
박동은 ( Park Dong-Eun )
원광대학교 의과대학 외과학교실
소병준 ( So Byung-Jun )
원광대학교 의과대학 외과학교실
채권묵 ( Chae Kwon-Mook )
원광대학교 의과대학 외과학교실
KMID : 0371320020630020155
Abstract
Purpose: Duodenum-preserving pancreatic head resection (DPPHR) is a suitable surgical procedure in the treatment of benign pancreatic head tumor, chronic pancreatitis and low-grade malignancy of pancreatic head. The main advantage of this
procedure is the preservation of the duodenum, which plays a key role in digestive functions. To create a practical guideline for vascular preservation during DPPHR, we examined the anatomy of pancreaticoduodenal arteries (PDA) by specimen
angiography.
Methods: From March 2000 to September 2001, 9 specimens were obtained from patients undergoing pancreaticoduodenectomy. As soon as the specimens were obtained, 4 PDA were cannulated and specimen angiography was performed.
Results: Arcade formation between the superior and inferior PDA was found in all of the cases. The anterior inferior PDA and posterior inferior PDA exhibited common trunk formation. Many communicating arteries between both arcades were
found. The
papillary branch, originating from the posterior superior PDA, was found in 4 cases.
Conclusion: To preserve the blood supply to the duodenum, complete preservation of both arteries may not be necessary. However, the preservation of the posterior superior PDA may be needed to maintain the blood supply of the papillary and
distal
bile ducts.
키워드
십이지장보존 췌두부절제술; 췌십이지장 동맥; Duodenum-preserving pancreatic head resection; Pancreaticoduodenal artery;
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