this video is educational purpose for under graduate and post graduate medical students. based on SRB’S manual general surgery book am teaching . i am DR. Basker Mch plastic surgery working in TVMCH ,TIRUNELVELI, TAMILNADU, INDIA. Dr.Basker’s view teaching for MBBS and MS and NURSING students
this video going to teach you about surgical wound classification. and how to prevent surgical site infection IN TAMIL

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The pancreas is an abdominal glandular organ with both digestive (exocrine) and hormonal (endocrine) functions.

In this article, we shall look at the anatomy of the pancreas – its structure, anatomical position and neurovascular supply.

Anatomical Position
The pancreas is an oblong-shaped organ positioned at the level of the transpyloric plane (L1). With the exception of the tail of the pancreas, it is a retroperitoneal organ, located deep within the upper abdomen in the epigastrium and left hypochondrium regions.

Within the abdomen, the pancreas has direct anatomical relations to several structures

Organs:

Stomach – Separated from the pancreas by the lesser sac, the stomach and pylorus lie anterior and to the pancreas.
Duodenum – The “C” shaped duodenum curves around and outlines the head of the pancreas. The first part of the duodenum lies anteriorly whereas the second part of the duodenum including the ampulla of Vater lies laterally to the right of the pancreatic head
Transverse mesocolon – Attaches to the anterior surface of the pancreas
Common bile duct – Descends behind the head of the pancreas before opening into the second part of the duodenum alongside the major pancreatic duct through the major duodenal papilla
Spleen – located posteriorly and laterally. The lienorenal ligament is formed from peritoneum and connects the spleen to the tail of the pancreas.
Vessels

The pancreas lies near several major vessels and significant landmarks in vascular anatomy:

The aorta and inferior vena cava pass posteriorly to the head of the pancreas.
The superior mesenteric artery lies behind the neck of the pancreas and anterior to the uncinate process.
Posterior to the neck of the pancreas, the splenic and superior mesenteric veins unite to form the hepatic portal vein.
As it journeys from its origin at the celiac plexus to the splenic hilum, the splenic artery traverses the superior border of the pancreas.
By TeachMeSeries Ltd (2023)

Fig 1 – Anterior view of the abdomen. The stomach, transverse colon, and the majority of the small intestine have been removed to expose the underlying pancreas

Anatomical Structure
The pancreas is typically divided into five parts:

Head – the widest part of the pancreas. It lies within the C-shaped curve created by the duodenum and is connected to it by connective tissue.
Uncinate process – a projection arising from the lower part of the head and extending medially to lie beneath the body of the pancreas. It lies posterior to the superior mesenteric vessels.
Neck – located between the head and the body of the pancreas. It overlies the superior mesenteric vessels which form a groove in its posterior aspect.
Body – centrally located, crossing the midline of the human body to lie behind the stomach and to the left of the superior mesenteric vessels.
Tail – the left end of the pancreas that lies within close proximity to the hilum of the spleen. It is contained within the splenorenal ligament with the splenic vessels. This is the only part of the pancreas that is intraperitoneal.
By TeachMeSeries Ltd (2023)

Fig 2 – The parts of the pancreas

Duct System
The exocrine pancreas is classified as a lobulated, serous gland which produces digestive enzyme precursors. It is composed of approximately one million ‘berry-like’ clusters of cells called acini, connected by short intercalated ducts.

The intercalated ducts unite with those draining adjacent lobules and drain into a network of intralobular collecting ducts, which in turn drain into the main pancreatic duct.

The pancreatic duct runs the length of the pancreas and unites with the common bile duct, forming the hepatopancreatic ampulla of Vater. This structure then opens into the duodenum via the major duodenal papilla.

Secretions into the duodenum are controlled by a muscular valve – the sphincter of Oddi. It surrounds the ampulla of Vater, acting as a valve.

By TeachMeSeries Ltd (2023)

Fig 3 – The exocrine pancreas, secreting into the duodenum

Vasculature
The pancreas is supplied by the pancreatic branches of the splenic artery. The head is additionally supplied by the superior and inferior pancreaticoduodenal arteries which are branches of the gastroduodenal (from coeliac trunk) and superior mesenteric arteries, respectively.

Venous drainage of the head of the pancreas is into the superior mesenteric branches of the hepatic portal vein. The pancreatic veins draining the rest of the pancreas do so via the splenic vein.

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