Orthotopic placement of a segmental pancreas graft for transplant: a case report

Clinical Transplantation
R Garcia-RocaD Sutherland

Abstract

Pancreas retransplantation has become more frequent and represents a technical challenge for surgeons. Knowledge of alternative surgical options could be useful in difficult cases. We present a case of brutal diabetes mellitus in a patient with severe vascular disease that underwent a third pancreas transplant. Difficulties in obtaining arterial inflow were solved utilizing the native splenic vessels, placing the graft in orthotopic position, and a combination of historical surgical techniques in pancreas transplantation; that is, segmental grafts and duct injection for exocrine management made transplantation successful.

References

Jan 1, 1967·American Journal of Surgery·F LargiaderR C Lillehei
Jan 1, 1995·Transplant International : Official Journal of the European Society for Organ Transplantation·D D Nghiem
Nov 7, 1999·Research in Experimental Medicine. Zeitschrift Für Die Gesamte Experimentelle Medizin Einschliesslich Experimenteller Chirurgie·H J KisslerP O Schwille
Apr 17, 2001·Annals of Surgery·D E SutherlandJ S Najarian
Feb 18, 2004·Transplantation·Mariano S Dy-Liacco, Bradley H Collins
Apr 16, 2004·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·David F MercerR Brian Stevens

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