Indocyanine green real-time-guided laparoscopic duodenum-preserving pancreatic head resection

Yuanbiao Zhang, Jungang Zhang, Kai Jiang, Weiding WuJournal of Minimal Access Surgery 2022 18(4):632-634Duodenum-preserving pancreatic head resection (DPPHR) is very complicated due to its difficulty to find the lower common bile duct (CBD), and to preserve the blood supply of the duodenum and CBD. Recently, indocyanine green (ICG) has been widely applied for navigation during biliary system and liver surgery. However, the application of ICG-guided laparoscopic DPPHR has not been established. Herein, we report an intraoperative angiography technique using ICG fluorescence imaging to visualise blood flow, tissue perfusion, CBD navigation and bile leakage assessment.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research