What is the most common location for the allograft in pancreas transplant?

What is the most common location for the allograft in pancreas transplant?

• A. Left iliac fossa
• B. Intrahepatic
• C. Right iliac fossa
• D. Pelvic region

Answer: (C)

The common approach is to place the pancreas graft in the right iliac fossa in a heterotopic transplant. This location gives straightforward surgical access to the external iliac vessels for arterial inflow and venous outflow, making the anastomoses simpler and safer. It also keeps the graft out of the area where the kidneys are usually placed in simultaneous pancreas-kidney transplants, leaving the left iliac fossa available for the kidney and reducing crowding. Intrahepatic placement isn’t used because the pancreas isn’t integrated into the liver and this would complicate drainage and access. The pelvic region is too vague a description; the precise and most commonly used spot is the right iliac fossa.

The common approach is to place the pancreas graft in the right iliac fossa in a heterotopic transplant. This location gives straightforward surgical access to the external iliac vessels for arterial inflow and venous outflow, making the anastomoses simpler and safer. It also keeps the graft out of the area where the kidneys are usually placed in simultaneous pancreas-kidney transplants, leaving the left iliac fossa available for the kidney and reducing crowding. Intrahepatic placement isn’t used because the pancreas isn’t integrated into the liver and this would complicate drainage and access. The pelvic region is too vague a description; the precise and most commonly used spot is the right iliac fossa.