Venous drainage from the tail of the pancreas to the lienal vein and its relationship with the distal splenorenal shunt selectivity

PURPOSE: To identify the veins draining from the pancreatic tail to the lienal vein and its possible relationship with the loss of the distal splenorenal shunt selectivity. METHODS: Thirty eight human blocks including stomach, duodenum, spleen, colon and pancreas, removed from fresh corpses, were studied with the replenish and corrosion technique, using vinilic resin and posterior corrosion of the organic tissue with commercial hydrochloric acid, in order to study the lienal vein and its tributaries. RESULTS: The number of veins flowing directly to the splenic vein varied from seven to twenty two (14.52 ± 3.53). Pancreatic branches of the pancreatic tail flowing to the segmentary veins of the spleen were found in 25 of the anatomical pieces studied (65.79%). These branches varied from one to four, predominating one branch (60%) and two branches (24%). CONCLUSIONS: In 65.79% of the anatomical pieces studied, the veins of the pancreatic tail flowed in segmentary branches of the splenic vein. These branches could be responsible for the loss of distal splenorenal shunt selectivity. The complete disconnection of the pancreatic tail could increase the selectivity in this procedure.

Bibliographic Details

Main Authors:	Piras,Cláudio, Paulo,Danilo Nagib Salomão, Paulo,Isabel Cristina Andreatta Lemos, Rodrigues,Hildegardo, Silva,Alcino Lázaro da
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2010
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502010000100021
Tags:	Add Tag No Tags, Be the first to tag this record!