1887

The pancreas

image of The pancreas
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Abstract

The pancreas is a glandular organ in the cranial abdomen that has both endocrine and exodrine functions. This chapter focuses on anatomy, surgical techniques and surgical conditions. Practical tips and warnings are highlighted throughout. Pancreatic biopsy; Partial pancreatectomy; Debridement/omentalization of pancreatic abscesses or pseudocysts.

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Figures

Image of 11.1
11.1 Anatomy and blood supply to the pancreas and adjacent structures. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 11.2
11.2 Anatomy of the pancreatic ducts in the dog. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 11.3
11.3 CT image showing insulinoma liver metastasis (arrowed).
Image of 11.4
11.4 (a) A large pancreatic pseudocyst in a dog obliterates the view of the internal organs. (b) The pancreatic pseudocyst and small intestines have been externalized from the abdomen.
Image of The pancreatic vessels are individually ligated and transected between the double ligatures.
The pancreatic vessels are individually ligated and transected between the double ligatures. The pancreatic vessels are individually ligated and transected between the double ligatures.
Image of Tightening of the ligatures crushes the pancreatic parenchyma.
Tightening of the ligatures crushes the pancreatic parenchyma. Tightening of the ligatures crushes the pancreatic parenchyma.
Image of Pancreatic tissue distal to the ligature is transected.
Pancreatic tissue distal to the ligature is transected. Pancreatic tissue distal to the ligature is transected.
Image of Outprojection of a canine insulinoma in the right pancreatic lobe.
Outprojection of a canine insulinoma in the right pancreatic lobe. Outprojection of a canine insulinoma in the right pancreatic lobe.
Image of The electrothermal biopolar device allows rapid resection of the insulinoma.
The electrothermal biopolar device allows rapid resection of the insulinoma. The electrothermal biopolar device allows rapid resection of the insulinoma.
Image of Sealing of the removed pancreatic lobe following application of the bipolar device.
Sealing of the removed pancreatic lobe following application of the bipolar device. Sealing of the removed pancreatic lobe following application of the bipolar device.
Image of Removal of an enlarged pancreaticoduodenal lymph node in a dog with an insulinoma. Excision and histopathology of the node revealed metastasis of the insulinoma.
Removal of an enlarged pancreaticoduodenal lymph node in a dog with an insulinoma. Excision and histopathology of the node revealed metastasis of the insulinoma. Removal of an enlarged pancreaticoduodenal lymph node in a dog with an insulinoma. Excision and histopathology of the node revealed metastasis of the insulinoma.

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