The application of intraoperative vascular and biliary tract imaging in laparoscopic duodenum-preserving pancreatic head resection-Reference-Cited by-同舟云学术

The application of intraoperative vascular and biliary tract imaging in laparoscopic duodenum-preserving pancreatic head resection

Published:2024-06-07 Issue: Volume: Page:
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Author:

Shen Zhengchao¹,Jiang Bin²,Xi Shihang²,Qian Daohai²,Chen Suhang²,Jiang Yaqi²,Wang Xiaoming¹

Affiliation:

1. The Fifth Clinical Medical College of Anhui Medical University

2. The First Affiliated Hospital of Wannan Medical College

Abstract

Objective To investigate the value of applying intraoperative indocyanine green fluorescence imaging in laparoscopic duodenum-preserving pancreatic head resection. Methods The clinical data of 12 patients with benign pancreatic head tumors who underwent fluorescence laparoscopic duodenum-preserving pancreatic head resection (FLDPPHR) at the Department of Hepatobiliary Surgery, the First Affiliated Hospital of Wannan Medical College, from June 2021 to October 2023 were retrospectively analyzed. All patients received an intravenous injection of indocyanine green (2.5 mg/ml, 1.5 ml) for biliary tract imaging half an hour before surgery. Indocyanine green (2.5 mg/ml, 1 ml) was intravenously injected into the peripheral vein when blood vessels needed to be exposed during the operation. Results FLDPPHR was successfully performed in all 12 patients without conversion to open surgery. The tumor diameter was 3.6±0.1 cm, the operation time was 366.7±24.2 minutes, and the intraoperative blood loss volume was 270.8±25.7 ml. The median number of intraoperative vascular visualizations was 3 (2-4). Postoperative pathological diagnosis revealed intraductal papillary mucinous neoplasm (IPMN) in 6 patients, serous cystadenoma (SCN) in 4 patients, and mucinous cystadenoma (MCN) in 2 patients. The median postoperative hospital stay was 10 (7-40) days. No long-term complications occurred during the follow-up of more than 7 months. Conclusion Real-time exposure of the common bile duct during indocyanine green fluorescence imaging is helpful for reducing damage to the common bile duct, visualizing vessels in the

Publisher

Research Square Platform LLC

Reference25 articles.

1. 1. Beger HG, Krautzberger W, Bittner R, Büchler M, Limmer J(1985)Duodenum-preserving resection of the head of the pancreas in patients with severe chronic pancreatitis. Surgery 97:467 − 73.

2. 2. Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, Allen P, Andersson R, Asbun HJ, Besselink MG, Conlon K, Del Chiaro M, Falconi M, Fernandez-Cruz L, Fernandez-Del Castillo C, Fingerhut A, Friess H, Gouma DJ, Hackert T, Izbicki J, Lillemoe KD, Neoptolemos JP, Olah A, Schulick R, Shrikhande SV, Takada T, Takaori K, Traverso W, Vollmer CR, Wolfgang CL, Yeo CJ, Salvia R, Buchler M(2017)International Study Group on Pancreatic Surgery (ISGPS). The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery 161:584–591. https://doi:10.1016/j.surg.2016.11.014.

3. 3. Simon R (2021)Complications After Pancreaticoduodenectomy. Surg Clin North Am 101:865–874. https://doi:10.1016/j.suc.2021.06.011.

4. 4. Liang Y, Zhao L, Jiang C, Hu P, Wang H, Cai Z, Wang W(2020)Laparoscopic pancreaticoduodenectomy in elderly patients. Surg Endosc 34:2028–2034. https://doi:10.1007/s00464-019-06982-w.

5. 5. Mansour N, Sirtl S, Angele MK, Wildgruber M(2024) Management of Sinistral Portal Hypertension after Pancreaticoduodenectomy. Dig Dis 42:178–185. https://doi:10.1159/000535774.