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

被引:1
|
作者
Garcia-Roca, R. [1 ]
Humar, A. [1 ]
Sturdevant, M. [1 ]
Kobayashi, T. [1 ]
Dunn, T. [1 ]
Kandaswamy, R. [1 ]
Sutherland, D. [1 ]
机构
[1] Univ Minnesota, Dept Surg, Minneapolis, MN 55455 USA
关键词
orthotopic pancreas transplant; pancreatic duct injection; pancreas retransplant; segmental pancreas; PORTAL VENOUS DRAINAGE; ARTERIAL RECONSTRUCTION; PANCREATICODUODENAL ALLOGRAFT; VASCULAR RECONSTRUCTION; ALLOTRANSPLANTATION;
D O I
10.1111/j.1399-0012.2009.01149.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:424 / 428
页数:5
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