Orthotopic placement of a segmental pancreas graft for transplant: a case report.
Pancreas retransplantation has become more frequent and represents a technical challenge for surgeons. Knowledge of alternative surgical options could be useful in difficult cases. We present a case of brutal diabetes mellitus in a patient with severe vascular disease that underwent a third pancreas transplant. Difficulties in obtaining arterial inflow were solved utilizing the native splenic vessels, placing the graft in orthotopic position, and a combination of historical surgical techniques in pancreas transplantation; that is, segmental grafts and duct injection for exocrine management made transplantation successful.
Garcia-Roca
R
R
Department of Surgery, University of Minnesota, Minneapolis, MN, USA. Mahmoud.Sadeghi@med.uni-heidelberg.de
Humar
A
A
Sturdevant
M
M
Kobayashi
T
T
Dunn
T
T
Kandaswamy
R
R
Sutherland
D
D
D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000601:surgery*; D005260:Female; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D010179:Pancreas / Q000098:blood supply* / Q000601:surgery*; D016035:Pancreas Transplantation; D011183:Postoperative Complications; D013157:Splenic Artery / Q000473:pathology / Q000601:surgery*; D014656:Vascular Surgical Procedures