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Anatomy of peripancreatic arteries and pancreaticoduodenal arterial arcades in the human pancreas: a cadaveric study

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Abstract

Introduction

The purpose of this work was to evaluate the arteries supplying the pancreaticoduodenal (PD) complex.

Materials and methods

The study was conducted on 15 fresh enbloc pancreatic specimens by latex injection method which enabled the visualization of the peripancreatic arteries and their minute branches.

Results

The gastroduodenal (GDA), anterior superior pancreaticoduodenal (ASPD), and anterior inferior pancreaticoduodenal (AIPD) artery was found in all the cases, whereas the posterior superior pancreaticoduodenal (PSPD) and posterior inferior pancreaticoduodenal (PIPD) artery was present in 93.34% cases. The ASPD artery originated from GDA in all the cases. Two types of variations were observed in the origin of PSPD artery and four types each in the origin of AIPD and PIPD artery. Anatomical and numerical variations were observed in both anterior and posterior arches, posterior arch being absent in 20% cases.

Conclusions

In the present study, an attempt was made to systematically describe the individual arterial configurations of the PD complex. The information provided here has important implications for preoperative planning of technically challenging surgeries and interventions around the pancreatic head.

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Acknowledgment

The authors express their gratitude to all the donors of the cadavers used for the present study. The authors thank Dr Sreedhara B Chaluvashetty for the CT angiographies.

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Authors and Affiliations

  1. Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India

    K. Hemanth Kumar, Thakur Deen Yadav & Rajinder Singh

  2. Department of Anatomy, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Shallu Garg & Daisy Sahni

  3. Department of Anatomy, All India Institute of Medical Sciences, Bathinda, India

    Harsimranjit Singh

Authors
  1. K. Hemanth Kumar
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  2. Shallu Garg
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  3. Thakur Deen Yadav
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  4. Daisy Sahni
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  5. Harsimranjit Singh
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  6. Rajinder Singh
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Contributions

KHK: data collection, data analysis, and manuscript writing. SG: data analysis, and manuscript writing. TDY: project development and manuscript editing. DS: project development and manuscript editing. HS: data collection and manuscript writing. RS: project development and manuscript editing.

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Correspondence to Thakur Deen Yadav.

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Kumar, K.H., Garg, S., Yadav, T.D. et al. Anatomy of peripancreatic arteries and pancreaticoduodenal arterial arcades in the human pancreas: a cadaveric study. Surg Radiol Anat 43, 367–375 (2021). https://doi.org/10.1007/s00276-020-02632-2

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  • DOI: https://doi.org/10.1007/s00276-020-02632-2

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