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CNAA / Theses / 2015 / July /

Morphofunctional pattern and clinical significance of the coledocopancreaticoduodenal complex

Author: Suman Serghei
Degree:doctor habilitat of medicine
Speciality: 14.00.02 - Human Anatomy
Scientific adviser: Boris Topor
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova


The thesis was presented on the 6 July, 2015
Approved by NCAA on the 7 October, 2015


Adobe PDF document0.97 Mb / in romanian


CZU 611.342:616.366-002-089

Adobe PDF document 7.51 Mb / in romanian
266 pages


duodenal-biliary-pancreatic complex, morphometrics, tensiometry, bar resistance


Paper’s structure:the work is depicted on 224 pages and includes: an introduction, 6 chapters, conclusions and recommendations, bibliography from 465 sources, 14 tables, 55 figures, and 10 annexes. On the basis of the thesis, 58 scientific publications have been developed.

Scope: Human anatomy. Goal: the present researches imply the carrying out of a complex, deep study of the structural and functional and topographic interconnection of duodenal-biliary-pancreatic complex (DBPC) components in humans, from practical viewpoint.

Objectives of thesis: To specify some structural aspects of DBPC. To analyse the morphometric marks of DBPC elements and to confront data with DBPC ones. To assess the physical and mechanic capacities and to set the areas of decreased resistance of DBPC components. To highlight DBPC vascularisation sources.

Novelty and scientific authenticity: The method to obtain the gypsum-made models of human duodenum and vascular replications has been worked out. The values of morphometric parameters of DBPC elements have been established. The number of forms of human duodenum has been set on gypsum models and fixed cadaverous material. The quotas of linear indexes of CB and pancreatic segments were set. For the first time ever, the physical and chemical, tensiometric and bar resistance properties of DBPC elements have been established.

New principled results for science and practice: setting of physical and mechanic, bar resistance and morphometric properties of DBPC components.

Theoretical significance and applicative importance of the work: In premiere, a DBPC complex multi-aspectual study was conducted, namely: gypsum models were created, rates of morphometric parameters and linear indicators were set; capacities of resistance and deforming, tensiometric and bar resistance were established.

Practical importance of work. Methods of creating vascular replications, duodenum-related gypsum models were worked out. The DBPC structural and stereometric aspects were analysed in details. The obtained data may be used in the university, post-university education process and at elaborating and publishing of the training sources. The scientific problem was solved in the thesis. The present researches approached comprehensively the structural particularities of elements of DBPC complex.

The results of scientific research: The results of the paper were implemented in the education process at the Chair of Topographic Anatomy and Operatory Surgery of the Nicolae Testemitanu State University of Medicine and Pharmacy.