Intraoperative Fluorescence Imaging During Robotic Pancreatoduodenectomy to Detect Suture-Induced Hypoperfusion of the Pancreatic Stump as a Predictor of Postoperative Pancreatic Fistula (FLUOPAN): Prospective Proof-of-concept Study.

Jeffrey W Chen,Sanne Lof,Maurice J W Zwart,Olivier R Busch,Freek Daams,Sebastiaan Festen,Zhi Ven Fong,Melissa E Hogg,Maxime D Slooter,Els J M Nieveen van Dijkum,Marc G Besselink

Annals of surgery open : perspectives of surgical history, education, and clinical approaches（2023）

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摘要

A potential downside of robotic pancreatoduodenectomy (RPD) is the lack of tactile feedback when tying sutures, which could be especially perilous during pancreatic anastomosis. Near-infrared fluorescence imaging with indocyanine green (NIRF-ICG) could detect transpancreatic-suture-induced hypoperfusion of the pancreatic stump during RPD, which may be related to postoperative pancreatic fistula (POPF) grade B/C, but studies are lacking.

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