Indocyanine green Real-time-guided laparoscopic Duodenum-preserving pancreatic head resection

Duodenum-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...

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Detalles Bibliográficos
Autores principales: Zhang, Yuanbiao, Zhang, Jungang, Jiang, Kai, Wu, Weiding
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
How I Do It Differently
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632711/
https://www.ncbi.nlm.nih.gov/pubmed/36124475
http://dx.doi.org/10.4103/jmas.jmas_205_21
Descripción
Sumario:Duodenum-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.

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