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

作　　者：Ilya Dmitriev Marine Oganesyan Antonina Popova Egor Orlov Mikhail Sinelnikov Yury Zharikov 

机构地区：[1]Department of Pancreas and Kidney Transplantation,N.V.Sklifosovsky Research Institute for Emergency Care,Moscow 107045,Russia [2]Department of Human Anatomy,Sechenov First Moscow State Medical University(Sechenov University),Moscow 125009,Russia [3]Department of Oncology,Radiotherapy and Reconstructive Surgery,Sechenov First Moscow State Medical University(Sechenov University),Moscow 119048,Russia [4]Laboratory of clinical morphology,Research Institute of Human Morphology,Moscow 117418,Russia

出　　处：《World Journal of Clinical Cases》2022年第35期12844-12853,共10页世界临床病例杂志

摘　　要：The variability of vascular anatomy of the pancreas underlines the difficulty of its transplantation.Research regarding the consistency of anatomical variations shows splenic arterial dominance in most cases.This 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 guidelines.We valuated existing literature regarding the vascularization and blood perfusion patterns of the pancreas in terms of dominance and variability.The collected data was independently analyzed by two researchers.Variance 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 arteries.The 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 cases.Pancreatic 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 

分 类 号：R322.491[医药卫生—人体解剖和组织胚胎学]