门口年状胰腺:流行率和外科的重要性
Adarsh Hegde1, Karthik Velmurugan2, Sharadhini Karanth1
1Department of Radiodiagnosis and Imaging, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
ANZ journal of surgery
|March 6, 2026
概括
门环状胰腺 (PAP) 影响2.7%的人口. 早期识别这种胰腺变体对于手术规划和预防胰腺抽等并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术解剖学手术解剖学
背景情况:
- 门环状胰腺 (PAP) 是一种罕见的先天性异常,胰腺组织围绕着十二指肠.
- 它的流行和外科影响,特别是胰腺切除,需要进一步阐明.
研究的目的:
- 用多探测器计算机断层扫描 (CT) 来确定人口中PAP的患病率.
- 评估PAP的外科影响.
- 报告在胰腺切除期间与三个PAP病例的机构经验.
主要方法:
- 1000次连续的三相对比增强腹部CT扫描的回顾性分析.
- 对PAP的存在和亚型的评估.
- 对经历胰腺切除的三例PAP病例的审查.
主要成果:
- 在27名患者中发现了PAP (2.7%的患病率).
- 上变种 (n=25) 是最常见的,其次是混合变种 (n=2).
- 在85次胰腺切除过程中发现了3例PAP病例,这些切除采用了不同的外科手术技术.
结论:
- PAP是一种显著的解剖变异,对胰腺手术具有关键意义.
- 没有充分识别PAP可能会增加术后胰腺的风险.
- 在接受切除的PAP患者中,进行术前鉴定和协作外科规划对于获得最佳结果至关重要.
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