PMID: 7940080Jan 1, 1994Paper

The infrapyloric artery and cephalic pancreatoduodenectomy with pylorus preservation: preliminary study

Surgical and Radiologic Anatomy : SRA
P WindP H Cugnenc

Abstract

Cephalic pancreatoduodenectomy (CPD) with pylorus preservation has been suggested to improve the functional and nutritional result of surgery. At operation, the first two centimeters of the duodenum are preserved, the vascular arch of the lesser gastric curvature is saved and the right gastroepiploic artery is resected at its origin. The aim of this study on 15 fresh cadavers was to determine the origin of the vascularization of the remaining duodenum and also the possibilities of preserving an optimal vascularization after CPD and pylorus preservation. All of the arteries supplying the remaining duodenum and arising either from the right gastric artery or the right gastroepiploic artery were identified. The distances between the origin of the infrapyloric artery and the termination of the gastroduodenal artery on the cranial and ventral pancreaticoduodenal artery and the left gastroepiploic artery were measured. At CPD with pylorus preservation, the study demonstrated that: 1) the cranial side of the remaining duodenum remains vascularized in 80% of the cases by one or two supraduodenal branches coming from the right gastric artery; 2) ligation of the right gastroepiploic artery eliminates all vascular supply to the caudal sid...Continue Reading

References

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Citations

Jan 1, 1994·Surgical and Radiologic Anatomy : SRA·J ZhangJ P Chevrel
Aug 18, 2012·Surgical and Radiologic Anatomy : SRA·Abhijit ChandraPankaj Kumar
Jan 1, 1995·Surgical and Radiologic Anatomy : SRA·S GuadagniK Maruyama
Jul 9, 2005·Journal of Vascular and Interventional Radiology : JVIR·David M LiuChing-yee O Wong
Dec 7, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J Evans
Aug 4, 1999·Surgical and Radiologic Anatomy : SRA·N HentatiP Mercier

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