Abstract:
Anatomical and surgical relationship of the splenic vessels and the pancreas is important
under the circumstances of modem organ and blood-flow preserving surgical principles.Topographical relationship of the splenic vessels and pancreas were studied on 36 corrosive and
semicorrosive casts. The specimens were injected with autopolymerisant acrylic mass “PEДOHT-03®” and “ПPOTAKPUЛ-M®”. Soliddiquid ratio was 4:5 or 2:3, in order to obtain flexibility
dibutylphtalat was added. In 93% cases a. lienalis was orientated inferior wit a length of 3-5 cm,
being adherent to the pancreatic tissue. In 76% cases a. lienalis was located posterior to the
mesopancreas, in 14% - on the superior pancreatic edge, while in 10% - intrapacreatic location was
observed. In the distal portion of the pancreas, a. lienalis is isolated from the pancreatic tissue and
located on superior pancreatic edge (80%) while in 20% - on the antero-superior pancreatic surface.
The brunches of the splenic artery come across the splenic vein in oblique or vertical direction. The
splenic vein was located in the middle and behind of the pancreatic body and tale in 17%, in 80% -
closer to the superior pancreatic edge and in 3% closer to the inferior pancreatic edge. Splenic vein
presents direct trajectory. Perivascular fibrous carcass is adherent to the pancreatic capsule by means
of fibrous fibers, orientated along the pancreatic vessels. Conjunctive tissue is located between the
perivascular fibrous carcass of the splenic vessels and the pancreas, fact that allows their separation
during surgery. The established anatomical relation of the splenic vessels and the pancreas allows safe
manipulations in caudal pancreatic resections, preserving the blood flow through the splenic vessels.
