Surgical and Radiologic Anatomy

, Volume 35, Issue 5, pp 403–410

Retropancreatic fascia is absent along the pancreas facing the superior mesenteric artery: a histological study using elderly donated cadavers

Authors

  • Jae Do Yang
    • Department of Surgery and Research Institute of Clinical MedicineChonbuk National University Hospital
  • Kazuo Ishikawa
    • Osaka Prefectural Senshu Critical Care Medical Center
  • Hong Pil Hwang
    • Department of Surgery and Research Institute of Clinical MedicineChonbuk National University Hospital
  • Dong-Eun Park
    • Department of SurgeryWonkwang University, College of Medicine
  • Ji Soo Song
    • Department of RadiologyChonbuk National University Hospital
  • Mineko Fujimiya
    • Department of AnatomySapporo Medical University School of Medicine
  • Gen Murakami
    • Division of Internal MedicineIwamizawa Kojin-kai Hospital
    • Department of Surgery and Research Institute of Clinical MedicineChonbuk National University Hospital
    • Department of SurgeryChonbuk National University Medical School
Original Article

DOI: 10.1007/s00276-012-1051-7

Cite this article as:
Yang, J.D., Ishikawa, K., Hwang, H.P. et al. Surg Radiol Anat (2013) 35: 403. doi:10.1007/s00276-012-1051-7

Abstract

To determine the fascial configuration between the superior mesenteric artery and vein and the posterior aspect of the pancreas, we examined histological sections of 10 elderly donated cadavers without pathology in the abdomen. The retropancreatic fascia was absent along the pancreatic parenchyma facing the artery and vein. Abundant nerves along the artery were separated from the pancreas by loose tissue almost 10 mm in thickness. In addition, anterior renal fasciae facing the pancreatic body were not evident in these specimens, possibly due to the degeneration of the left adrenal gland with age. Thus, a definite renal fascia was restricted on the lateral and posterior sides of the left kidney. These findings suggest that interactions between a pancreatic tumor and nerves would require migration of cancer cells over a long distance. Conversely, attachment of the enlarged tumor mass to the nerves may be necessary for the invasion. The anterior renal fascia may fuse with the retropancreatic fascia.

Keywords

FasciaPancreasRenal fasciaHuman cadaverHistology

Copyright information

© Springer-Verlag France 2012