Abstract
An: 2021, Nr.2, Articol Nr. 1
Title: 

COMPUTER TOMOGRAPHIC EVALUATION OF THE PANCREATICO-VERTEBRAL SPACE. DIMENSIONS, VARIABILITY, CONTENT

Authors: 

      Andreea Şerban, Theodora Morgos, Ofelia Goidescu - University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Doctoral School UMFCD
      C. Panţu, A. Tulin, F. Filipoiu - University of Medicine and Pharmacy ”Carol Davila”, Bucharest, Faculty of Medicine Departament of Anatomy
      COMPUTER TOMOGRAPHIC EVALUATION OF THE PANCREATICO-VERTEBRAL SPACE. DIMENSIONS, VARIABILITY, CONTENT (Abstract): Introduction: Imaging diagnosis is based on the existence of constant and easily identifiable anatomical landmarks. When evaluating small topographic regions, the importance of using anatomical landmarks becomes obvious. In the pancreatic-vertebral space are found the large prevertebral vessels, their branches, the left renal vein, the portal vein with its tributaries, lymph nodes, the efferents of the celiac ganglia that participate in the formation of the mesopancreas, and the diaphragmatic pillars. Materials and methods: Following a 1 year retrospective observational study involving a number of 100 patients without a history of pancreatic pathology, with age between 26 and 78 years, who were evaluated within the imaging clinic “REMENIX” from Galati, using a Philips CT MX 16 slices. Results: The location of the pancreatic-vertebral space varies depending on the spine, corresponding to the T11-L2 vertebrae, most frequently being positioned at the T12-L1 level. The pancreatic-aortic space varies between 1.03 and 5.59 cm. The cranio-caudal diameter of the pancreas at the level of the body varies between 1.62 and 4.5 cm. The intermezenteric-portal space varies at the upper level between 1.05 and 4.4 cm and at the lower level between 0.12 and 1.69 cm. The most variable elements of the pancreatico-vertebral space found in our study are: the presence of two left renal veins, the absence of the celiac trunk, the existence of a right hepatic artery from the superior mesenteric artery, the existence of a single hepatic artery from the superior mesenteric artery. Conclusions: The variability of the pancreatico-vertebral space is remarkable in terms of location and content. We believe that our observations can improve the imaging diagnosis and can be used by the surgeon to perform a resection of the mesopancreas in cephalic pancreatectomy.
Key words: PANCREAS, COMPUTED TOMOGRAPHY, PANCREATIC-VERTEBRAL SPACE, INTER­MESENTERIC-PORTAL SPACE
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