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全胰移植的解剖学基础如果清楚肝动脉的解剖变异,联合截取肝脏和全胰是可行的。如遇单支肝中动脉,可带腹腔动脉于及肠系膜上动脉截取胰腺,而肝脏带其自身动脉为蒂。在只有一支肝左动脉的情况下,截取肝脏应带腹腔动脉干、肝中动脉及肝左动脉,而胰腺应带肠系膜上动脉。如胰背动脉是来自脾动脉,脾动脉亦应一同带上。在只有一支肝右动脉时,肝脏可带肝中动脉、肝右动脉及肠系膜上动脉为蒂,而胰腺应带腹腔动脉、肝总动脉(包括胃十二指肠动脉)和脾动脉为血管蒂。(11:181～185)。
Anatomical Basis of Whole Pancreas Transplantation Given the anatomical variations of the hepatic artery, it is feasible to combine the interception of the liver and total pancreas. In case of a single branch of the middle hepatic artery, with celiac artery and superior mesenteric artery interception of the pancreas, and the liver with its own pedicle. In the case of only one left hepatic artery, the intercepted liver should be celiac artery, middle hepatic artery and left hepatic artery, while the pancreas should have the superior mesenteric artery. Such as the dorsal pancreatic artery is from the splenic artery, splenic artery should also be brought together. When there is only one right hepatic artery, the liver can be pedicled with the middle hepatic artery, the right hepatic artery and the superior mesenteric artery, and the pancreas should be celiac artery, common hepatic artery (including the gastroduodenal artery) and the splenic artery Di. (11: 181 ~ 185).