Using SPY Laser Imaging During Pancreatic Surgery
Author Information
Author(s): Fuji Tomokazu MD, PhD, Takagi Kosei MD, PhD, Yasui Kazuya MD, PhD, Nishiyama Takeyoshi MD, Yamada Motohiko MD, Nagai Yasuo MD, Kanehira Noriyuki MD, Fujiwara Toshiyoshi MD, PhD
Primary Institution: Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Hypothesis
The study investigates the usefulness of SPY laser fluorescence imaging during pancreatoduodenectomy with common hepatic artery resection.
Conclusion
The SPY Portable Handheld Imager is valuable for visualizing blood flow in reconstructed vessels during pancreatectomies combined with vascular reconstruction.
Supporting Evidence
- SPY laser fluorescence imaging confirmed arterial blood perfusion to the liver through the reconstructed hepatic artery.
- The operation lasted 493 minutes with an estimated blood loss of 400 mL.
- The postoperative course was uneventful with good arterial blood flow.
Takeaway
Doctors used a special camera to see if blood was flowing properly in a patient's liver during surgery for pancreatic cancer.
Methodology
A 55-year-old man with borderline resectable pancreatic head cancer underwent a pancreatoduodenectomy with common hepatic artery resection, and SPY laser fluorescence imaging was used to assess blood flow.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
One 55-year-old male patient with borderline resectable pancreatic head cancer.
Digital Object Identifier (DOI)
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