Abstract
Limited resection of the pancreas is recommended for low-grade malignancies such as mucin-producing tumors. We propose a system of segmentation of the pancreas for the purposes of limited resection. The proposed system has an anatomical and embryological basis, and divides the pancreas into four segments, namely the anterior head, posterior head, body and tail. These segments are based on the conventional anatomical division of the pancreas, identification of the originating primordium, and distribution of the ventral and dorsal pancreas.
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References
T Takada H Yasuda K Uchiyama H Hasegawa (1993) ArticleTitleDuodenum preserving pancreatoduodenectomy. A new technique for complete excision of the head of the pancreas with preserving of biliary and alimentary integrity Hepatogastroenterology 40 356–9 Occurrence Handle1:STN:280:ByuD3M%2FmslM%3D Occurrence Handle8406305
G Klöppel E Solcia DS Longnecker C Capella LH Sobin (1996) Histological typing of tumors of the exocrine pancreas EditionNumber2nd ed. World Health Organization/Springer Berlin
E Solcia C Capella G Klöppel (1997) Tumors of the pancreas. In: Atlas of tumor pathology, 3rd series, fascicle 20 Armed Forces Institute of Pathology Washington DC 53–64
K Suda M Mogaki T Oyama (1991) ArticleTitleA comparison between hyperplasia of ductal epithelium and mucin producing tumor of the pancreas (in Japanese with English abstract) Rinshobyori (Jpn J Clin Pathol) 39 1220–4 Occurrence Handle1:STN:280:By2C3cnlt1E%3D
J Wittingen CF Frey (1974) ArticleTitleIslet concentration in the head, body, tail and uncinate process of the pancreas Ann Surg 179 412–4 Occurrence Handle1:STN:280:CSuC3MnhslM%3D Occurrence Handle4593099
K Suda K Mizuguchi A Hoshino (1981) ArticleTitleDifferences of the ventral and dorsal anlagen of pancreas after fusion Acta Pathol Jpn 31 583–9 Occurrence Handle1:STN:280:Bi2D38%2FksVU%3D Occurrence Handle7025573
G Klöppel S Lenzen (1984) Anatomy and physiology of the endocrine pancreas G Klöppel PU Heitz (Eds) Pancreatic pathology Churchill Livingstone London 133–53
K Kozu K Suda F Toki (1995) ArticleTitlePancreatic development and anatomical variations Endosc Clin N Am 5 1–30 Occurrence Handle1:STN:280:ByqB2crlsFc%3D
K Suda T Uchida M Takase (1994) ArticleTitleEmbryological and pathoanatomical aspects of pancreatic segmentation J Biliary Tract Pancreas 15 1191–5
K Suda K Mizuguchi M Matsumoto (1983) ArticleTitleA histopathological study on the etiology of duodenal diverticulum related to the fusion of the pancreatic anlage Am J Gastroenterol 78 335–8 Occurrence Handle1:STN:280:BiyB38fgsFw%3D Occurrence Handle6407301
T Uchida T Takada BJ Ammori K Suda T Takahashi (1999) ArticleTitleThree-dimensional reconstruction of the ventral and dorsal pancreas: a new insight into anatomy and embryologic development J Hepatobiliary Pancreat Surg 6 176–80 Occurrence Handle10.1007/s005340050102 Occurrence Handle1:STN:280:DyaK1MzivFeluw%3D%3D Occurrence Handle10398906
K Suda M Takase K Takei T Kumasaka F Suzuki (2000) ArticleTitleHistopathologic and immunohistochemical studies on the mechanism of interlobular fibrosis of the pancreas Arch Pathol Lab Med 124 1302–5 Occurrence Handle1:STN:280:DC%2BD3cvnsFKqtw%3D%3D Occurrence Handle10975926
J Rode JR Lowers AP Dhillon PB Cotton (1985) ArticleTitlePancreas divisum pancreatitis [abstract J pathol 146 246
K Suda S Hirai A Yamamura J Itakura Y Matsumoto K Sato et al. (1994) ArticleTitleA histopathological study on ventral and dorsal pancreas tissues in patients with pancreas divisum Dig Endosc 6 74–9
T Takada H Yasuda K Uchiyama H Hasegawa T Iwagaki Y Yamakawa (1994) ArticleTitleA proposed new pancreatic classification system according to segments: operative procedure for a medial pancreatic segmentectomy J Hepatobiliary Pancreat Surg 1 322–5
AL Warshaw DW Rattner CF Castillo K Z’graggen (1998) ArticleTitleMiddle segment pancreatectomy. A novel technique for conserving pancreatic tissue Arch Surg 133 327–31 Occurrence Handle1:STN:280:DyaK1c7ns12hug%3D%3D Occurrence Handle9517749
PL Fagniez M Kracht N Rotman (1988) ArticleTitleLimited conservative pancreatectomy for benign tumors of the pancreas Br J Surg 75 719 Occurrence Handle1:STN:280:BieA38jjtVw%3D Occurrence Handle3416130
T Takada (1993) ArticleTitleVentral pancreatectomy: resection of the ventral segment of the pancreas J Hepatobiliary Pancreat Surg 1 36–40 Occurrence Handle10.1007/BF01235933
T Sakamoto M Nagai N Tanaka M Nobori T Tsukamoto M Nobuki (2000) ArticleTitleAnatomical segmentectomy of the head of the pancreas along the embryological fusion plane: A feasible procedure? Surgery 128 822–31 Occurrence Handle10.1067/msy.2000.109611 Occurrence Handle1:STN:280:DC%2BD3M%2FjsFGkug%3D%3D Occurrence Handle11056446
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Suda, K., Nobukawa, B., Takase, M. et al. Pancreatic segmentation on an embryological and anatomical basis. J Hepatobiliary Pancreat Surg 13, 146–148 (2006). https://doi.org/10.1007/s00534-005-1039-3
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DOI: https://doi.org/10.1007/s00534-005-1039-3