Concepts in Surgery of the Pancreas

Chapter

Abstract

The pancreas lies in a relatively protected and inaccessible location in the upper abdomen. The head of the pancreas nestles in the C-loop of the duodenum, and the body and tail drape over the retroperitoneum, extending out toward the hilum of the spleen. The pancreas has a rich and somewhat variable arterial blood supply. The head and neck are supplied by the anterior and posterior pancreaticoduodenal arches (which form anastomoses between the celiac and superior mesenteric circulations), and the neck, body, and tail are supplied by the greater pancreatic artery, the dorsal and inferior pancreatic arteries, and the artery to the tail of the pancreas. Regional lymph nodes include the superior and inferior pancreaticoduodenal nodes; the celiac, hepatic, and superior mesenteric nodes; the superior pancreatic nodes (which drain the body and tail); and the splenic nodes.

Keywords

Catheter Europe Adenocarcinoma Adenoma Pancreatitis 

Notes

Acknowledgment

This chapter was contributed by William H. Nealon in the previous edition.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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