Abstract:
BACKGROUND:Circumportal pancreas is a rare congenital pancreatic anomaly. The aim of this study was to clarify the clinical characteristics of patients with circumportal pancreases undergoing pancreatectomy. METHODS:The medical records of 508 patients who underwent pancreatectomy were retrospectively reviewed. The prevalence of circumportal pancreas and related anatomical variations were assessed. Surgical procedures and postoperative outcomes were compared in patients with and without circumportal pancreas. RESULTS:Circumportal pancreas was observed in 9 of the 508 patients (1.7%). In all nine patients, the portal vein was completely encircled by the pancreatic parenchyma above the level of the splenoportal junction, and the main pancreatic duct ran dorsal to the portal vein. The rate of variant hepatic artery did not differ significantly in patients with and without circumportal pancreas. Pancreatic fistula developed more frequently in patients with than without circumportal pancreas (44% vs. 14%, p = 0.03), but other clinical parameters did not differ significantly in these two groups. CONCLUSIONS:Despite being rare, circumportal pancreas may increase the risk of postoperative pancreatic fistula in patients undergoing pancreatectomy. However, a prospective, large-cohort study is necessary to determine the real incidence of relevant anatomical variations and the definitive clinical significance of this rare anomaly.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Ohtsuka T,Mori Y,Ishigami K,Fujimoto T,Miyasaka Y,Nakata K,Ohuchida K,Nagai E,Oda Y,Shimizu S,Nakamura Mdoi
10.1016/j.amjsurg.2016.11.018subject
Has Abstractpub_date
2017-08-01 00:00:00pages
267-272issue
2eissn
0002-9610issn
1879-1883pii
S0002-9610(16)30861-3journal_volume
214pub_type
杂志文章abstract::Cysts of the mesothelial investment of the round ligament are rare and occur in women in their late third or fourth decades. They are relatively painless, mobile, may be perceived to be reducible, and should be included in the differential diagnosis of groin masses in women. Differentiation of these cysts from a small...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(86)90116-9
更新日期:1986-04-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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pub_type: 杂志文章,评审
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更新日期:2014-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2004-03-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:1994-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:1977-06-01 00:00:00
abstract::The records of 104 patients with primary adenocarcinoma of the duodenum were reviewed. All patients were followed up to the date of this report, 91 for at least 5 years. Melena was an ominous preoperative finding. Survival was directly related to nodal status, the grade of the lesion, and the ability of the surgeon to...
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