ASO Author Reflections: Feasibility of Indocyanine Green Fluorescence Technique in Robotic Duodenum-Preserving Pancreatic Head Resection

Excerpt

Duodenum-preserving pancreatic head resection (DPPHR) is a surgical procedure that effectively eliminates the lesion while maintaining the integrity of the digestive organs.¹ In contrast to the pancreaticoduodenectomy, this technique has less impact on the physiological structure of patients, thereby enhancing their overall quality of life. However, the presence of benign or low malignant lesions in the head of the pancreas is often accompanied by recurrent regional inflammation, which subsequently leads to the formation of adhesions in the surrounding structures and intricate anatomy that is difficult to discern. Accurate structural (biliary) identification and delicate surgical maneuvers to maintain normal blood supply to the duodenum and biliary tract remain challenging. …