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Title of Journal: Surg Radiol Anat

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Abbravation: Surgical and Radiologic Anatomy

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Springer-Verlag

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10.1016/0032-3950(81)90485-8

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1279-8517

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Retropancreatic fascia is absent along the pancrea

Authors: Jae Do Yang Kazuo Ishikawa Hong Pil Hwang DongEun Park Ji Soo Song Mineko Fujimiya Gen Murakami Baik Hwan Cho
Publish Date: 2012/12/19
Volume: 35, Issue: 5, Pages: 403-410
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Abstract

To determine the fascial configuration between the superior mesenteric artery and vein and the posterior aspect of the pancreas we examined histological sections of 10 elderly donated cadavers without pathology in the abdomen The retropancreatic fascia was absent along the pancreatic parenchyma facing the artery and vein Abundant nerves along the artery were separated from the pancreas by loose tissue almost 10 mm in thickness In addition anterior renal fasciae facing the pancreatic body were not evident in these specimens possibly due to the degeneration of the left adrenal gland with age Thus a definite renal fascia was restricted on the lateral and posterior sides of the left kidney These findings suggest that interactions between a pancreatic tumor and nerves would require migration of cancer cells over a long distance Conversely attachment of the enlarged tumor mass to the nerves may be necessary for the invasion The anterior renal fascia may fuse with the retropancreatic fascia

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