{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T05:12:23Z","timestamp":1747199543642,"version":"3.40.5"},"reference-count":8,"publisher":"Akademiai Kiado Zrt.","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["PhysInt"],"published-print":{"date-parts":[[2023,2,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p xml:lang=\"en\">According to current protocol, the separation of pancreatic head and body is performed at the level of superior mesenteric vein (SMV). Previous data indicate that the resection plane should be modified in portal annular pancreas. We presumed that the optimal line of pancreatic resections could also be different in other cases. Our aim is to simulate pancreatic resections in different planes and find the optimal resection line with the minimum number of cut vessels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main methods<\/jats:title><jats:p xml:lang=\"en\">25 abdominal vascular corrosion casts were prepared, the aorta and the portal vein were cannulated. CT scans were taken on the casts, and specific planes were reconstructed simulating different resection lines. The total amount of cross sections of vessels were calculated in the different planes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p xml:lang=\"en\">In our series, the optimal plane is the SMV in 11\/25, 2\u2009cm left in 10\/25, 1\u2009cm left in 4\/25, 1\u2009cm right in 1\/25 and 2\u2009cm right in none of our cases. The group of left sided extension contain more than half of the cases. With left sided resections, the cut surface of the vessels may be lowered to even 29% compared to the SMV plane.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p xml:lang=\"en\">Our study revealed that pancreatic resections should be extended to the left side of the SMV in more than half of our cases. Therefore, the resection plane should be determined by preoperative imaging methods. Using DICOM viewer with multiplanar reconstruction, the resection planes can be simulated in clinical practice, which would reduce the risk of postoperative bleeding.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2060.2022.00122","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T11:58:05Z","timestamp":1675857485000},"update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Can the transection plane be optimized in\u00a0pancreatic resections?"],"prefix":"10.1556","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0771-9961","authenticated-orcid":true,"given":"Andr\u00e1s","family":"Szu\u00e1k","sequence":"first","affiliation":[{"name":"Department of Anatomy, Histology and Embryology, Semmelweis University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Korom","sequence":"additional","affiliation":[{"name":"Department of Radiology, Semmelweis University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u00e1roly","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gnes","family":"Nemesk\u00e9ri","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology and Embryology, Semmelweis University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Hars\u00e1nyi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"issue":"5","key":"B1","series-title":"J Gastrointest Surg","first-page":"1332","article-title":"Portal annular pancreas (PAP): an underestimated devil in pancreatic surgery \u2013 systematic review of literature and case report","volume":"25","author":"Pandrowala S","year":"2021","unstructured":"Pandrowala S, Parray A, Chaudhari V, Shrikhande SV, Bhandare MS. Portal annular pancreas (PAP): an underestimated devil in pancreatic surgery \u2013 systematic review of literature and case report. J Gastrointest Surg 2021; 25(5): 1332\u20131339. https:\/\/doi.org\/10.1007\/s11605-021-04927-0."},{"key":"B2","series-title":"Anatomy and histology of the pancreas. Pancreapedia","author":"Longnecker DS","year":"2021","unstructured":"Longnecker DS. Anatomy and histology of the pancreas. Pancreapedia 2021. https:\/\/doi.org\/10.3998\/panc.2021.01."},{"issue":"4","key":"B3","series-title":"Clin Anat","first-page":"544","article-title":"Pancreaticoduodenal arterial arcades: their dominance and variations-their potential clinical relevance","volume":"31","author":"Szu\u00e1k A","year":"2018","unstructured":"Szu\u00e1k A, N\u00e9meth K, Korom Cs, G\u00e1ti E, Karlinger K, Hars\u00e1nyi L, et\u00a0al. Pancreaticoduodenal arterial arcades: their dominance and variations-their potential clinical relevance. Clin Anat 2018; 31(4): 544\u2013550. https:\/\/doi.org\/10.1002\/ca.23063."},{"issue":"4","key":"B4","series-title":"World J Surg","first-page":"1244","article-title":"Position of the pancreas division line and postoperative outcomes after distal pancreatectomy","volume":"44","author":"Matsui S","year":"2020","unstructured":"Matsui S, Ogura T, Ban D, Ogawa K, Ono H, Mitsunori Y, et\u00a0al. Position of the pancreas division line and postoperative outcomes after distal pancreatectomy. World J Surg 2020; 44(4): 1244\u20131251. https:\/\/doi.org\/10.1007\/s00268-019-05305-3."},{"issue":"12","key":"B5","series-title":"HPB (Oxford)","first-page":"1766","article-title":"Preoperative factors of laparoscopic distal pancreatectomy difficulty","volume":"22","author":"Partelli S","year":"2020","unstructured":"Partelli S, Ricci C, Rancoita PMV, Montorsi R, Andreasi V, Ingladi C, et\u00a0al. Preoperative factors of laparoscopic distal pancreatectomy difficulty. HPB (Oxford) 2020, 22(12): 1766\u20131774. https:\/\/doi.org\/10.1016\/j.hpb.2020.04.002."},{"issue":"4","key":"B6","series-title":"Zentralbl Chir","first-page":"446","article-title":"Computed tomography-based planimetry of the pancreatic transection line in risk evaluation for postoperative pancreatic fistula after pancreatic head resection","volume":"141","author":"Riediger H","year":"2016","unstructured":"Riediger H, Krueger CM, Makowiec F, Adam U, Kr\u00fcger K. Computed tomography-based planimetry of the pancreatic transection line in risk evaluation for postoperative pancreatic fistula after pancreatic head resection. Zentralbl Chir 2016; 141(4): 446\u2013453. https:\/\/doi.org\/10.1055\/s-0035-1546193."},{"issue":"3","key":"B7","series-title":"J Hepatobiliary Pancreat Sci","first-page":"322","article-title":"Risk factors for postoperative pancreatic fistula after pancreaticoduodenectomy: the significance of the ratio of the main pancreatic duct to the pancreas body as a predictor of leakage","volume":"17","author":"Akamatsu N","year":"2010","unstructured":"Akamatsu N, Sugawara Y, Komagome M, Shin N, Cho N, Ishida T, et\u00a0al. Risk factors for postoperative pancreatic fistula after pancreaticoduodenectomy: the significance of the ratio of the main pancreatic duct to the pancreas body as a predictor of leakage. J Hepatobiliary Pancreat Sci 2010; 17(3): 322\u2013328. https:\/\/doi.org\/10.1007\/s00534-009-0248-6."},{"issue":"2","key":"B8","series-title":"World J Surg","first-page":"440","article-title":"Endocrine function impairment after distal pancreatectomy: incidence and related factors","volume":"40","author":"Kang JS","year":"2016","unstructured":"Kang JS, Jang JY, Kang MJ, Kim E, Jung W, Chang J, et\u00a0al. Endocrine function impairment after distal pancreatectomy: incidence and related factors. World J Surg 2016; 40(2): 440\u2013446. https:\/\/doi.org\/10.1007\/s00268-015-3228-9."}],"container-title":["Physiology International"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/2060\/aop\/article-10.1556-2060.2022.00122\/article-10.1556-2060.2022.00122.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/2060\/aop\/article-10.1556-2060.2022.00122\/article-10.1556-2060.2022.00122.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/2060\/aop\/article-10.1556-2060.2022.00122\/article-10.1556-2060.2022.00122.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T11:58:06Z","timestamp":1675857486000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/2060\/aop\/article-10.1556-2060.2022.00122\/article-10.1556-2060.2022.00122.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,8]]},"references-count":8,"URL":"https:\/\/doi.org\/10.1556\/2060.2022.00122","relation":{},"ISSN":["2498-602X","2677-0164"],"issn-type":[{"type":"print","value":"2498-602X"},{"type":"electronic","value":"2677-0164"}],"subject":[],"published":{"date-parts":[[2023,2,8]]}}}