Human gastro-pancreatic ligaments

Abstract

In 1946, in our doctoral dissertation, we described the gastro-pancreatic ligaments. As often happens, the daily activities of surgeons performing operations on the stomach have already prepared the ground for the description of these ligaments. Thus, in the work of V. L. Astrakhan devoted to the description of the deserized fields of the stomach, the author already calls the peritoneum, which fixes the stomach to the pancreas, the gastric-pancreatic ligament, but does not give a description of this formation. A great expert on the ligamentous apparatus of the abdominal cavity, K. P. Sapozhkov also mentions the gastro-pancreatic ligament. Considering that in that period the number of extensive resections for malignant neoplasms of the stomach was increasing and more detailed knowledge of the variational anatomy of the ligamentous apparatus was required, we conducted a study of the gastrointestinal ligaments on 500 corpses. In this work, three ligaments were described: gastrointestinal-pancreatic — between the left half of the body of the pancreas and the posterior wall of the stomach, pyloric-pancreatic — between the excretory duct of the stomach and the head of the pancreas and, in the case of fusion of these two ligaments, — a continuous gastrointestinal-pancreatic ligament, completely separating the omentum bag on two floors: the cavity the small omentum, cavum omenti minoris, and the gastro-pancreatic sac, saccus gastropancreaticus. We have also given these bundles the corresponding Latin names: lig. gastropancreaticum, lig. pyloropancreaticum, lig. gastro- pancreaticium completum.

Keywords

Kazan Medical archive

References

[1] Астрахан В. Л. Нов. хир. арх., 1935, 3.

[2] Сапожков К. П. Хирургия, 1939, 11.

[3] Стешенко И. А. Связочный аппарат, сумки и карманы брюшной полости. Автореф. канд. дисс., Горький, 1955; Лимфатические узлы желудка и желудочно-поджелудочные связки в норме и патологии. Автореф. докт. дисс., Казань, 1967.

[4] Фраучи В. X. Вариантная анатомия желудочно-поджелудочных связок и оперативный доступ к ним. Автореф. докт. дисс., М., 1946; Хирургия, 1949, 11; Топографическая анатомия и оперативная хирургия живота и таза. Учебное пособие. Изд. Казанского ун-та, 1966.

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