Chinese Journal of Clinical Anatomy >
Applied anatomic study and three-dimension reconstruction of the blood supply of pancreatic head
Received date: 2014-06-24
Online published: 2014-12-04
Objective To investigate the applied anatomy of the blood supply of the pancreatic head, and provide anatomic basis for surgery in the pancreatic head and the Artery-perfusion Chemotherapy. Methods Anatomical observations was carried out to investigate the relationship of the blood supply in pancreatic heads of 15 fresh adult specimens which are injected with red-colored latex. 6 fresh adult specimens are injected with polyvinyl alcohol-ceria for CT scan, the data of which are used for three-dimensional reconstruction. Results The main blood supply of pancreatic head are: anterior superior pancreaticoduodenal artery, posterior superior pancreaticoduodenal artery, anterior inferior pancreaticoduodenal artery, posterior inferior pancreaticoduodenal artery, the anterior and posterior arterial arcades. The distances of the anterior pancreaticoduodenal arch and posterior pancreaticoduodenal arch at the top of the caput pancreas, major duodenal papilla, the bottom of the caput pancreas to duodenum were (1.08±0.21) cm, (1.23±0.22) cm, (1.12±0.25) cm and (1.15±0.28) cm, (1.25±0.24) cm, (1.05±0.25) cm, respectively. Three-dimensional reconstruction of blood vessels of the pancreatic head could display directly and stereoscopically the relationship of the various sources of blood supply to the pancreatic head. Conclusion In order to not injure the blood supply of the duodenum, we should keep the anterior and posterior arterial arcades of pancreaticoduodenal intact when we perform the excision surgery the pancreatic head cancer with reservation of the duodenum, which dictates that the distance between the suture silk and the right border of caput pancreas should be kept longer than 1.5cm .Three-dimensional reconstruction of the blood vessels of pancreatic head can provide guidance for the surgery of the pancreatic head and interventional therapy.
LI Mei-Xiu-Li , BANG Tian-Gong , DAN Xiao-Tian , LI Jian-Die , CHEN Qing-Hua , XIE Wei , WANG Ai-Beng , CAO Lei . Applied anatomic study and three-dimension reconstruction of the blood supply of pancreatic head[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(6) : 644 -647 . DOI: 10.13418/j.issn.1001-165x.201
[1] Kim KH, Kwon MJ, Kwon SM, et al. Fast surface and volume rendering based on shear-warp factorization for a surgical simulator
[J]. Comput Aided Surg, 2002, 7(5): 268-278.
[2] 高宏建, 吴水才, 任新颖, 等. 利用Amira进行肝脏及其管道系统的三维重建
[J]．北京生物医学工程, 2006, 25(5): 534-537．
[3] 傅群武, 丁自海, 吴 涛. 胰头的动脉分布及其临床意义
[J]. 中国临床解剖学杂志, 2005, 23(6): 631-634.
[4] 雨霖. 胰头癌术式选择30年的变化——Whipple手术 扩大手术 保留功能手术
[J]. 中国实用外科杂志, 2009, 29(1): 11-14.
[5] Nishimaki H, Takigawa M, Sohma K, et al. Progress in interventional radiology(IVR) in emergency medicine
[J]. Nippon Geka Gakkai Zasshi, 2009, 100(7):435 - 442.
[6] 吕孝鹏, 马向东, 杨英祥, 等. 区域性动脉灌注化疗22例不可切除胰腺癌插管途径分析
[J]. 肿瘤学杂志, 2005, 11(1): 44-45.
[7] 付淼, 李莉, 何叶松. Mimics 与医学图像三维重建
[J]. 中国现代医学杂志, 2010, 20(19): 3030-3035.
[8] 刁同进, 赵晓同, 陈新, 等. 胰头癌的外科手术综合治疗143例临床分析
[J]. 肝胆胰外科杂志, 2013, 25(9): 376-384.
[9] 汪坤菊, 陈敏, 石小田, 等. 应用放射造影术进行胰腺头部动脉的三维重建及意义
[J]. 四川解剖学杂志, 2013, 21(2): 9-11.
[10] 李文生, 宋志坚, 左焕琛. 胰腺及其周围血管的三维重建和显示及临床意义
[J]. 中国临床解剖学杂志, 2004, 22(4): 344-346.
[11] Fang CH, Kong DS, Wang XJ, et al. Three-Dimensional reconstruction of the peripancreatic vascular system based on computed tomographic angiography images and its clinical application in the surgical management of pancreatic tumors
[J]. Pancreas, 2014, 43(3): 389-395.
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