The surgical anatomy of the lymphatic system of the pancreas
The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body, and tail of the pancreas. Its anatomical divisions and embryological development have been well described in the literature with emphasis on its c...
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Veröffentlicht in: | Clinical anatomy (New York, N.Y.) N.Y.), 2015-05, Vol.28 (4), p.527-537 |
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creator | Cesmebasi, Alper Malefant, Jason Patel, Swetal D. Plessis, Maira Du Renna, Sarah Tubbs, R. Shane Loukas, Marios |
description | The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body, and tail of the pancreas. Its anatomical divisions and embryological development have been well described in the literature with emphasis on its clinical relevance in regards to pancreatic pathologies. A thorough knowledge and understanding of the lymphatic system surrounding the pancreas is critical for physicians in providing diagnostic and treatment strategies for patients with pancreatic cancer and pancreatitis. Pancreatic cancer has an extremely poor prognosis and is a notable cause of morbidity and mortality worldwide. Although a surgeon may try to predict the routes for metastasis for pancreatic cancer, the complexity of this system presents difficulty due to variable drainage patterns. Pancreatitis also presents as another severe disease which has been shown to have an association with the lymphatics. The aim of this article is to review the literature on the lymphatics of the pancreas, pancreatic pathologies, and the available imaging methodologies used to study the pancreatic lymphatics. Clin. Anat. 28:527–537, 2015. © 2014 Wiley Periodicals, Inc. |
doi_str_mv | 10.1002/ca.22461 |
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Shane ; Loukas, Marios</creator><creatorcontrib>Cesmebasi, Alper ; Malefant, Jason ; Patel, Swetal D. ; Plessis, Maira Du ; Renna, Sarah ; Tubbs, R. Shane ; Loukas, Marios</creatorcontrib><description>The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body, and tail of the pancreas. Its anatomical divisions and embryological development have been well described in the literature with emphasis on its clinical relevance in regards to pancreatic pathologies. A thorough knowledge and understanding of the lymphatic system surrounding the pancreas is critical for physicians in providing diagnostic and treatment strategies for patients with pancreatic cancer and pancreatitis. Pancreatic cancer has an extremely poor prognosis and is a notable cause of morbidity and mortality worldwide. Although a surgeon may try to predict the routes for metastasis for pancreatic cancer, the complexity of this system presents difficulty due to variable drainage patterns. Pancreatitis also presents as another severe disease which has been shown to have an association with the lymphatics. The aim of this article is to review the literature on the lymphatics of the pancreas, pancreatic pathologies, and the available imaging methodologies used to study the pancreatic lymphatics. Clin. Anat. 28:527–537, 2015. © 2014 Wiley Periodicals, Inc.</description><identifier>ISSN: 0897-3806</identifier><identifier>EISSN: 1098-2353</identifier><identifier>DOI: 10.1002/ca.22461</identifier><identifier>PMID: 25220721</identifier><identifier>CODEN: CLANE8</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Anatomy ; Blood vessels ; Cancer ; Complexity ; Computer networks ; Diagnostic systems ; EUS ; Head ; Humans ; Literature reviews ; Lymph Nodes - anatomy & histology ; Lymphatic system ; Lymphatic Vessels - anatomy & histology ; lymphatics ; Magnetic Resonance Imaging ; Medical personnel ; Metastases ; Morbidity ; Neck ; Nodes ; Pancreas ; Pancreas - anatomy & histology ; Pancreatic cancer ; Pancreatic Neoplasms - pathology ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy ; Pancreatitis ; Pancreatitis - etiology ; Physicians ; Routing (telecommunications) ; Tomography, X-Ray Computed ; Wound drainage</subject><ispartof>Clinical anatomy (New York, N.Y.), 2015-05, Vol.28 (4), p.527-537</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4851-d3b0da74df45c80e7f485c173a9c6baf1ed200bb86ad5d3fa697178a3004d3673</citedby><cites>FETCH-LOGICAL-c4851-d3b0da74df45c80e7f485c173a9c6baf1ed200bb86ad5d3fa697178a3004d3673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fca.22461$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fca.22461$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25220721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cesmebasi, Alper</creatorcontrib><creatorcontrib>Malefant, Jason</creatorcontrib><creatorcontrib>Patel, Swetal D.</creatorcontrib><creatorcontrib>Plessis, Maira Du</creatorcontrib><creatorcontrib>Renna, Sarah</creatorcontrib><creatorcontrib>Tubbs, R. Shane</creatorcontrib><creatorcontrib>Loukas, Marios</creatorcontrib><title>The surgical anatomy of the lymphatic system of the pancreas</title><title>Clinical anatomy (New York, N.Y.)</title><addtitle>Clin. Anat</addtitle><description>The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body, and tail of the pancreas. Its anatomical divisions and embryological development have been well described in the literature with emphasis on its clinical relevance in regards to pancreatic pathologies. A thorough knowledge and understanding of the lymphatic system surrounding the pancreas is critical for physicians in providing diagnostic and treatment strategies for patients with pancreatic cancer and pancreatitis. Pancreatic cancer has an extremely poor prognosis and is a notable cause of morbidity and mortality worldwide. Although a surgeon may try to predict the routes for metastasis for pancreatic cancer, the complexity of this system presents difficulty due to variable drainage patterns. Pancreatitis also presents as another severe disease which has been shown to have an association with the lymphatics. The aim of this article is to review the literature on the lymphatics of the pancreas, pancreatic pathologies, and the available imaging methodologies used to study the pancreatic lymphatics. Clin. Anat. 28:527–537, 2015. © 2014 Wiley Periodicals, Inc.</description><subject>Anatomy</subject><subject>Blood vessels</subject><subject>Cancer</subject><subject>Complexity</subject><subject>Computer networks</subject><subject>Diagnostic systems</subject><subject>EUS</subject><subject>Head</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Lymph Nodes - anatomy & histology</subject><subject>Lymphatic system</subject><subject>Lymphatic Vessels - anatomy & histology</subject><subject>lymphatics</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical personnel</subject><subject>Metastases</subject><subject>Morbidity</subject><subject>Neck</subject><subject>Nodes</subject><subject>Pancreas</subject><subject>Pancreas - anatomy & histology</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy</subject><subject>Pancreatitis</subject><subject>Pancreatitis - etiology</subject><subject>Physicians</subject><subject>Routing (telecommunications)</subject><subject>Tomography, X-Ray Computed</subject><subject>Wound drainage</subject><issn>0897-3806</issn><issn>1098-2353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90F1LwzAYBeAgis4p-Auk4I031TdJ26TgjQyn4vxAFC_D2zTVarvOpEX7741uUxD0KnB4OEkOITsUDigAO9R4wFiU0BUyoJDKkPGYr5IByFSEXEKyQTadewagNBJynWywmDEQjA7I0d2TCVxnH0uNVYBTbJu6D5oiaH1e9fXsCdtSB653ramX-Qyn2hp0W2StwMqZ7cU5JPfjk7vRWTi5Pj0fHU9CHcmYhjnPIEcR5UUUawlGFD7WVHBMdZJhQU3OALJMJpjHOS8wSQUVEjlAlPNE8CHZn_fObPPaGdequnTaVBVOTdM5Rb0RKYtF6uneL_rcdHbqX6doyoBFkd_nX5UIJjlPOf25VtvGOWsKNbNljbZXFNTn7kqj-trd091FYZfVJv-Gy6E9COfgraxM_2eRGh0vCxe-9MO_f3u0L-rzs7F6uDpVN-Obi2RyydUt_wC_pJdK</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Cesmebasi, Alper</creator><creator>Malefant, Jason</creator><creator>Patel, Swetal D.</creator><creator>Plessis, Maira Du</creator><creator>Renna, Sarah</creator><creator>Tubbs, R. 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Shane ; Loukas, Marios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4851-d3b0da74df45c80e7f485c173a9c6baf1ed200bb86ad5d3fa697178a3004d3673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Anatomy</topic><topic>Blood vessels</topic><topic>Cancer</topic><topic>Complexity</topic><topic>Computer networks</topic><topic>Diagnostic systems</topic><topic>EUS</topic><topic>Head</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Lymph Nodes - anatomy & histology</topic><topic>Lymphatic system</topic><topic>Lymphatic Vessels - anatomy & histology</topic><topic>lymphatics</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical personnel</topic><topic>Metastases</topic><topic>Morbidity</topic><topic>Neck</topic><topic>Nodes</topic><topic>Pancreas</topic><topic>Pancreas - anatomy & histology</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy</topic><topic>Pancreatitis</topic><topic>Pancreatitis - etiology</topic><topic>Physicians</topic><topic>Routing (telecommunications)</topic><topic>Tomography, X-Ray Computed</topic><topic>Wound drainage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cesmebasi, Alper</creatorcontrib><creatorcontrib>Malefant, Jason</creatorcontrib><creatorcontrib>Patel, Swetal D.</creatorcontrib><creatorcontrib>Plessis, Maira Du</creatorcontrib><creatorcontrib>Renna, Sarah</creatorcontrib><creatorcontrib>Tubbs, R. 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subjects | Anatomy Blood vessels Cancer Complexity Computer networks Diagnostic systems EUS Head Humans Literature reviews Lymph Nodes - anatomy & histology Lymphatic system Lymphatic Vessels - anatomy & histology lymphatics Magnetic Resonance Imaging Medical personnel Metastases Morbidity Neck Nodes Pancreas Pancreas - anatomy & histology Pancreatic cancer Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Pancreaticoduodenectomy Pancreatitis Pancreatitis - etiology Physicians Routing (telecommunications) Tomography, X-Ray Computed Wound drainage |
title | The surgical anatomy of the lymphatic system of the pancreas |
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