[A clinical report of vascularized segmental pancreatic autotransplantation in chronic XXXX ].

@entity788 @entity254 @entity8883 @entity880 @entity158 @entity432 @entity2548
A vascularized segmental autotransplantation of distal 80% of the pancreas to the right iliopelvic space was successfully performed in a 51-year-old male who had @entity8883 . Distal 80% of the gland with severe calcified pancreatitic change was resected and prepared for transplantation by injecting the splenic artery with Ringer's @entity880 solution containing heparin, albumin and gabexate mecilate cooled to 4 degrees C. The spleen was removed from the specimen. An @entity2548 was constructed at the tail. End-to-side @entity254 of spleno-external iliac veins was carried out after small fusiform resection of the iliac venous wall for the purpose of sufficient venous patency. End-to-end @entity254 of @entity432 was done. The pancreatic stump was anastomosed to the ileum. Post-operatively, the @entity158 completely resolved. Patency of the graft was demonstrated by angiography. Higher response of the C-peptide immunoreactivity on 75 g OGTT was found in the iliac vein on the transplanted side than in another peripheral vein. The exocrine pancreatic function diagnostant test showed 78.8% post-operatively (vs. 63.2% pre-operatively). Vascularized segmental pancreatic autotransplantation offers an excellent method of relieving @entity158 with preservation of endocrine and exocrine functions in selected cases with chronic @entity788 .
