Is ICG-enhanced image able to help predicting pancreatic fistula in laparoscopic pancreaticoduodenectomy?

Seoung Yoon Rho, Sung Hyun Kim, Chang Moo Kang, Woo Jung Lee

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Laparoscopic pancreaticoduodenectomy (PD) has been reported to be technically feasible and safe. Successful pancreatico-enteric anastomosis in particular is important for safe PD. Intraoperative perfusion of the remnant pancreas can be evaluated with ICG technology and be applied in pancreatic reconstruction in PD. A 68-year old female patient with distal common bile duct cancer underwent laparoscopic pylorus-preserving pancreaticoduodenectomy. After pancreaticojejunostomy (PJ), we checked perfusion of the anastomosis line using an ICG imaging system and noticed a perfusion defect at the anterior wall. The patient developed a grade A postoperative pancreatic fistula, but was discharged without major sequelae. Even though pancreatic perfusion after laparoscopic PJ appeared adequate based on white light, hypo-perfusion was noted under infrared light. Our experience suggests that ICG technology may be more sensitive than white light for detecting pancreatic perfusion in pancreatic anastomoses. However, the clinical implications of this require further investigation.

Original languageEnglish
Pages (from-to)29-32
Number of pages4
JournalMinimally Invasive Therapy and Allied Technologies
Volume28
Issue number1
DOIs
Publication statusPublished - 2019 Jan 2

All Science Journal Classification (ASJC) codes

  • Surgery

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