Anatomical landmark-guided laparoscopy for migrant fishbone - induced pancreatic abscesses: a case series study and review of the literature.

IF 3.1 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Frontiers in Medicine Pub Date : 2025-07-02 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1598619

Chuanbing Zhao, Hongzhen Wei, Long He, Canglong Deng, Yu Lu, Jingjie Wang, Tao Yin

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引用次数: 0

Abstract

Introduction: Pancreatic abscesses resulting from gastrointestinal fishbone migration represent rare yet clinically challenging surgical emergencies, with standardized management protocols remaining undefined.

Methods: We analyzed three consecutive cases (2024-2025) treated via anatomical landmark-guided laparoscopy alongside 11 PubMed-indexed cases (2004-2025). This study evaluates a novel surgical paradigm for complete foreign body retrieval and abscess resolution.

Results: The laparoscopic strategy achieved technical precision with minimal operative duration (73 ± 6 min) and blood loss (6.67 ± 4.71 mL), eliminating pancreatic fistula or hemorrhagic complications. Postoperative hospitalization was reduced by 43% compared to conventional interventions (5.3 ± 1.5 vs. 9.3 ± 3.1 days; *p* < 0.01). Crucially, this strategy attained hemostatic efficacy equivalent to augmented reality navigation (ARN)-assisted techniques without preoperative conditioning.

Conclusion: These findings establish a reproducible framework integrating anatomical landmark navigation for emergency pancreatic abscess management. The approach offers clinically validated advantages in procedural safety, visceral preservation, and accelerated recovery trajectories compared to existing strategies.

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解剖标志引导下的腹腔镜手术治疗流动鱼骨引起的胰腺脓肿：一个病例系列研究和文献回顾。

由胃肠道鱼骨迁移引起的胰腺脓肿是罕见的，但临床上具有挑战性的外科急诊，标准化的管理方案仍未确定。方法：我们分析了连续3例（2024-2025）通过解剖地标引导腹腔镜治疗的病例以及11例pubmed检索病例（2004-2025）。本研究评估了一种全新的手术模式，用于完全取出异物和解决脓肿。结果：腹腔镜手术策略达到了技术精度，手术时间最短（73±6 min），出血量（6.67±4.71 mL），消除了胰瘘及出血并发症。与常规干预相比，术后住院时间减少43%（5.3±1.5天vs 9.3±3.1天）；*p* < 0.01)。至关重要的是，该策略获得的止血效果相当于增强现实导航（ARN）辅助技术，无需术前调理。结论：这些发现为急诊胰脓肿治疗建立了一个可重复的框架，整合了解剖地标导航。与现有策略相比，该方法在手术安全性、内脏保存和加速恢复轨迹方面具有临床验证的优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Medicine Medicine-General Medicine

CiteScore

5.10

自引率

5.10%

发文量

3710

审稿时长

12 weeks

期刊介绍： Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world