Indocyanine Green-Fluorescent Pancreatic Perfusion-Guided Resection of Distal Pancreas in Solid Pseudopapillary Neoplasm: Usefulness and Feasibility During Pancreaticobiliary Surgery

Abstract

ICG is widely applied in real-time imaging during abdominal surgery, plastic surgery, as well as oncologic staging and treatment. A twenty-eight year-old female patient was found to have a 4.5 cm solid pseudopapillary neoplasm in the tail of the pa ncrea s. Under ICG-fluorescent pancreatic perfusion-guidance, we easily defined the margin of the pancreatic tumor and secured the resection margin when performing laparoscopic dista l pancreatosplenectomy in the patient. No clinically relevant complications, including postoperative pancreatic fistula, were noted. Intravenous ICG can be very easily and quickly detected in the pancreas under near infrared light. This enhanced vision gives strong contrast to the organ compared to a necrotic tumor with poor blood perfusion, such as solid pseudopapillary neopla sm. Based on our current exp erience, ICG pancreatic per fusion-guided determination of appropriate resection margin is useful and feasible during pancreaticoduodenectomy.

(PDF) Indocyanine Green-Fluorescent Pancreatic.... Available from: https://www.researchgate.net/publication/323849273_Indocyanine_Green-Fluorescent_Pancreatic_Perfusion-Guided_Resection_of_Distal_Pancreas_in_Solid_Pseudopapillary_Neoplasm_Usefulness_and_Feasibility_During_Pancreaticobiliary_Surgery [accessed Jul 25 2018].