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Anatomical basis for pancreas transplantation via isolated splenic artery perfusion:A literature review

World Journal of Clinical Cases 2022年第35期10卷 12844-12853页

作者： Ilya Dmitriev Marine Oganesyan Antonina Popova Egor Orlov Mikhail Sinelnikov Yury Zharikov Department of pancreas and Kidney Transplantation N.V.Sklifosovsky Research Institute for Emergency CareMoscow 107045Russia Department of Human anatomy Sechenov First Moscow State Medical University(Sechenov University)Moscow 125009Russia Department of Oncology Radiotherapy and Reconstructive SurgerySechenov First Moscow State Medical University(Sechenov University)Moscow 119048Russia Laboratory of clinical morphology Research Institute of Human MorphologyMoscow 117418Russia

The variability of vascular anatomy of the pancreas underlines the difficulty of its *** regarding the consistency of anatomical variations shows splenic arterial dominance in most *** can significantly improve transplantation success.A systematic literature review was performed according to the quality standards described in the AMSTAR measurement tool and the PRISMA *** valuated existing literature regarding the vascularization and blood perfusion patterns of the pancreas in terms of dominance and *** collected data was independently analyzed by two *** of vascular anatomy was seen to be underreported in literature,though significant findings have been included and discussed in this study,providing valuable insight into the dynamics of pancreatic perfusion and feasibility of transplantation on several different supplying *** splenic artery(SA)has a high percentage of consistency in all found studies(over 90%).High frequency of anastomoses between arterial pools supplying the pancreas can mediate sufficient blood supply through a dominant vessel,such as the SA,which is present in most *** transplantation with isolated SA blood supply can provide sufficient arterial perfusion of the pancreas for stable transplant viability due to high anatomical consistency of the SA and vast communications with other arterial systems.

关键词： pancreas transplantation Isolated splenic artery supply pancreas anatomy pancreatic perfusion Minireview

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