Evaluation of gastric perfusion by intraoperative indocyanine green fluorescence imaging in distal pancreatectomy with celiac axis resection with left gastric artery reconstruction in pancreatic cancer – A case report (with Video)

Journal of Cancer Research and Practice Pub Date : 2022-10-01 DOI:10.4103/jcrp.jcrp_7_22

K. Chang, Shao‐Bin Cheng, Cheng‐Chung Wu, Shao-Ciao Luo

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引用次数: 0

Abstract

A 67-year-old man had suffered from persistent abdominal cramping pain for six months, with radiation to the back. Adenocarcinoma of pancreatic body with celiac encasement was diagnosed. Neoadjuvant chemotherapy was given and regressive tumor size was noted. Further operation of distal pancreatectomy with celiac axis resection (DP-CAR), including transection of the left gastric artery (LGA), was performed. The middle colic artery (MCA) was utilized for reconstruction of LGA, with LGA-MCA anastomosis. Intraoperative indocyanine green (ICG) fluorescence was used to confirm the blood supply. DP-CAR is a complicated procedure for tumor involving celiac axis but would bring benefit if en bloc resection was achieved. Reconstruction of the transected vessels was important to reduce further complications. Intraoperative indocyanine green (ICG) fluorescence imaging is a feasible method of evaluating the blood supply to the stomach and liver after the DP-CAR procedure.

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胰远端腹腔轴切除胃左动脉重建术中吲哚菁绿荧光成像评价胃灌注1例(附视频)

一名67岁的男性患有持续腹部绞痛6个月，背部接受放射治疗。诊断为胰体腺癌合并腹腔包膜。给予新辅助化疗，发现肿瘤缩小。进一步行胰远端切除术加腹腔轴切除(DP-CAR)，包括胃左动脉横断(LGA)。采用结肠中动脉(MCA)重建LGA, LGA-MCA吻合。术中应用吲哚菁绿(ICG)荧光检测血供。DP-CAR对于累及腹腔轴的肿瘤是一种复杂的手术，但如果实现了整体切除，将会带来好处。横断血管的重建对于减少进一步的并发症非常重要。术中吲哚菁绿(ICG)荧光成像是一种评估DP-CAR术后胃和肝脏血供的可行方法。

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来源期刊

Journal of Cancer Research and Practice

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： JCRP aims to provide an exchange forum for the cancer researchers and practitioners to publish their timely findings in oncologic disciplines. The scope of the Journal covers basic, translational and clinical research, Cancer Biology, Cancer Immunotherapy, Hemato-oncology, Digestive cancer, Urinary tumor, Germ cell tumor, Breast cancer, Lung cancer, Head and Neck Cancer in a vast range of cancer related topics. The Journal also seeks to enhance and advance the cancer care standards in order to provide cancer patients the best care during the treatments.