Orthotopic placement of a segmental pancreas graft for transplant: a case report |
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Authors: | R. Garcia‐Roca A. Humar M. Sturdevant T. Kobayashi T. Dunn R. Kandaswamy D. Sutherland |
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Affiliation: | Department of Surgery, University of Minnesota, Minneapolis, MN, USA |
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Abstract: | Garcia‐Roca R, Humar A, Sturdevant M, Kobayashi T, Dunn T, Kandaswamy R, Sutherland D. Orthotopic placement of a segmental pancreas graft for transplant: a case report. Clin Transplant 2010: 24: 424–428. © 2009 John Wiley & Sons A/S. Abstract: 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. |
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Keywords: | orthotopic pancreas transplant pancreatic duct injection pancreas retransplant segmental pancreas |
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