[Clinical and surgical anatomy studies of the lymphatic circulation of the pancreas].
Data were collected from results of injection and dissection of 100 autopsy specimens; the examination of 34 case-reports of cancers patients; the injection of lymphatics in 14 live dogs; and the reconstruction of the mesodorsal region of the pancreas from a 30 mm embryo-using Born's technique. Anatomy of the pancreas and lymph vessels shows that the "primary mesodorsal region" of the pancreas is two-fold: a right part for the right side of pancreas, the retroportal process (RPP); a left part for the left side of pancreas, a formation not previously described, the left lateroportal process (LLPP). Whereas lymphatic drainage visible on the anterior surface of the pancreas is apparently as described, posterior drainage, which collects lymph from posterior and anterior vessels, is quite atypical. The right portion drains into the RPP and the left into the LLPP. The very rapid passage into the thoracic duct probably greatly diminishes the value of widely extended surgery. The lymphatic system acts as a "buffer system" or "safety valve", against progression to necrosis. Development and study of a lymphagogue drug for the treatment of acute pancreatitis are a justifiable project. A protocol is proposed which combines lymphagogue treatment with anti-enzymes.
Pissas
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D000818:Animals; D004285:Dogs; D006801:Humans; D008208:Lymphatic System / Q000033:anatomy & histology*; D010179:Pancreas / Q000033:anatomy & histology*; D010190:Pancreatic Neoplasms / Q000473:pathology; D010195:Pancreatitis / Q000473:pathology
Essai d'anatomie clinique et chirurgicale sur la circulation lymphatique du pancréas.