Artículos de revistas
Anatomic Study Of Portal Vein. Transpancreatic Vessels Injuries Approach
Registro en:
Acta Cirurgica Brasileira. , v. 17, n. 4, p. 225 - 231, 2002.
1028650
2-s2.0-52649149861
Autor
Mantovani M.
Leal R.F.
Fontelles M.J.
Institución
Resumen
Introduction: The commitment of the great blood-vessels make up a situation of great complexity and a high rate of the complications and mortality patients with abdominal trauma. The injury of the portal vein matters because of the difficulty on the diagnosis and the approach surgery. Objective: To set the standard on the transverse section of the pancreas looking for a safer surgical access to repair the portal vein injuries. Methods: A quantitative analysis was performed to characterize the anatomical relationship between the portal vein and their tributaries relating them to the pancreas. On these corpses, the measurements of a anatomical triangle were studied. It base was the upper limit of the superior mesenteric vein and the initial portion of the portal vein; the apex, a point located on the upper limit of the confluence of the splenic vein and superior mesenteric vein, situated at the middle line of the superior mesenteric vein. Results: The portal vein is formed 3.24cm from the internal border of the duodenal arc at a distance of 1.61cm and 1.07 from the inferior and superior pancreas borders, respectively. Conclusion: The present study allow us to conclude that, to have access to the origin of the portal vein, in case of trauma of this vessel, one should proceed a transverse section of the neck of the pancreas next to the superior mesenteric vein, because its confluence with splenic vein occur, on average, 1.07cm and 1.61cm from the superior and inferior border of the gland, respectively. 17 4 225 231 Aleksandrovich, G.L., Rudenko, I.I., Injury of majors blood vessels in abdominal trauma (1991) Khirurgiia (Mosk), 12, pp. 66-69 Dawson, D.L., Johansen, K.H., Jurkovich, G.J., Injuries to the portal triad (1991) Am J Surg, 161 (5), pp. 545-551 Jurkovich, G.J., Hoyt, D.B., Moore, F.A., Ney, A.L., Morris, J.A., Scalea, T.M., Patcher, H.L., Davis, J.W., Portal triad injuries (1995) J Trauma, 39 (3), pp. 426-434 Tyburski, J.G., Wilson, F.R., Dente, C., Steffes, C., Carlin, A.M., Factors affecting mortality rates in patients with abdominal vascular injuries (2001) J Trauma, 50 (6), pp. 1020-1026 David Jr., J.K., Gomez, G.A., Trauma management (1989) Abdominal Vascular Trauma. 1 Ed., pp. 306-307. , David BP. Boston: Little Brown and Company Haimovici, H., Transperitoneal exposure of abdominal aorta and iliac arteries (1996) Vascular Surgery: Principles and Techniques. 4Ed., pp. 385-392. , Haimovici H. Cambridge: Blackwell Science Petersen, S., Sheldon, G., Lim, R., Management of portal vein injuries (1979) J Trauma, 19, pp. 616-620 Henne-Bruns, D., Kremer, B., Injuries of the portal vein and vena cava in severe blunt abdominal trauma (1992) Zentralbl Chir, 117 (6), pp. 343-347 Henne-Bruns, D., Kremer, B., Lloyd, D.M., Meyer-Pannwitt, U., Injuries of portal vein in patients with blunt abdominal trauma (1993) HPB Surg, 6 (3), pp. 163-168 Graham, D.D., May, A.K., Moore, M., Young, J.S., Management of hepatic artery injury: Case report (1997) Am Surg, 63 (4), pp. 327-329 Jurkovich, G.J., Hoyt, D.B., Carrico, C.J., Pancreatic trauma (1990) Sug Clin North Am, 70 (3), pp. 575-593 Machado, M.A.C., Volpe, P., Souza Jr., A.L., Poggetti, R.S., Branco, P.D., Birolini, D., Lesões traumáticas do pâncreas: Análise de 65 casos (1994) Rev Hosp Clin Fac Med S Paulo, 49 (6), pp. 238-242 Patton Jr., J.H., Fabian, T.C., Complex pancreatic injuries (1996) Surg Clin North Am, 76 (4), pp. 783-795 Goffi, F.S., Aspectos técnicos das ressecções pancreáticas (1991) Colégio Brasileiro de Cirurgiões - Cirurgia do Aparelho Digestivo. 11 Ed., pp. 143-146. , São Paulo: Robe Editora Moore, K.L., (1994) Anatomia Orientada para a Clínica. 3 Ed., , Rio de Janeiro: Guanabara Koogan Testut, L., Jacob, O., (1967) Tratado de Anatomia Topografica Com Aplicaciones Medicoquirurgicas. 8 Ed., pp. 135-149. , Barcelona: Salvat Editores Albu, I., Vaida, A., Briciu, M., Gherman, I., Oprea, A., Giurgiu, T., The portal vein and its main affluents. An anatomic and morphometric study (1982) Morphol Embryol (Bucur), 28 (4), pp. 267-272 Falconer, C.W.A., Griffiths, E., Anatomy of the blood vessels in region of the pancreas (1950) Br J Surg, 37, pp. 334-339 Correa, N.A., (1988) Clínica Cirúrgica. 4 Ed., pp. 559-562. , São Paulo: Sarvier Steinman, E., Utiyama, E.M., Martini, A.C., Pogetti, R.S., Birolini, D., Lesão traumática da veia porta (1989) Rev Col Bras Cir, 16 (5), pp. 234-238 Mantovani, M., Meirelles, G.V., Fraga, G.P., Abordagem cirúrgica do trauma pancreático e dos descolamentos retroperitoneais (2001) Terapêutica Cirúrgica. 1 Ed., pp. 688-696. , Petroianu A. Rio de Janeiro: Guanabara Koogan Patcher, H.L., Liang, H.G., Hofstetter, S.R., (1996) Liver and Biliary Tract Trauma, pp. 487-523. , Feliciano DV, Moore EE, Mattox KL. Trauma. 3ed. Connecticut: Appleton Sheldon, G.F., Lim, R.C., Yee, E.S., Management of injuries to the porta hepatis (1985) Ann Surg, 202 (5), pp. 539-545