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©The Author(s) 2023.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1799-1807
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1799
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1799
Ref. | Country of origin | Study design | Study population | Disease process |
Strasberg et al[25], 2002 | United States | Prospective cohort | Patients undergoing pancreatoduodenectomy with pancreatojejunostomy at a single institution 1996 to 2000 | Malignant (n = 107): Pancreatic cancer (n = 48); ampullary cancer (n = 28); NET (n = 6); villous adenoma (n = 6); MCN (n = 6); bile duct cancer (n = 5); duodenal adenocarcinoma (n = 3); serous cystadenoma (n = 3); IPMN (n = 1); GIST (n = 1). Benign (chronic pancreatitis, n = 16) |
Subar et al[24], 2015 | France | Case report | One patient undergoing laparoscopic pancreatoduodenectomy with pancreatojejunostomy | Malignant (ampullary adenocarcinoma) |
Rho et al[23], 2019 | Korea | Case report | One patient undergoing laparoscopic pancreatoduodenectomy with pancreatojejunostomy | Malignant (distal cholangiocarcinoma) |
Doussot et al[27], 2021 | France | Prospective cohort | Consecutive patients undergoing open pancreatoduodenectomy with pancreatojejunostomy at a single institution from January 2020 to November 2020 | Malignant (n = 30, periampullary malignancies) |
Iguchi et al[26], 2021 | Japan | Case report | One patient undergoing open middle segment-preserving pancreatectomy with pancreatojejunostomy | Malignant (pancreatic ductal adenocarcinoma in head of pancreas with IPMN in the tail of pancreas) |
Ref. | Measurement of hypoperfusion | Description of technique | Total number of patients | Number with hypoperfusion | Management of hypoperfusion |
Strasberg et al[25] | Visual assessment by surgeon | Blood supply was considered adequate when pulsatile arterial bleeding was present both superior and inferior to the pancreatic duct on the cut surface of the pancreas. The bleeding was required to be brisk (of a level that required sutures to stop the bleeding). If there was no bleeding, or if the bleeding points were of an oozing type that could be controlled without sutures, the blood supply was considered inadequate | 123 | 47 | Further 1.5-2 cm of pancreas transected |
Subar et al[24] | ICG | Peripheral injection of 2 mL (0.5 mg) of Infracyanine™ (concentration was 0.25 mg/mL). The infrared camera is then focused on the transected margin of the pancreas | 1 | 1 | Ischaemic segment resected further |
Rho et al[23] | ICG | ICG in jVR 25.0 mg (Doingin-dang Pharmaceutical Company, Siheung, Gyeonggi, Republic of Korea) given via peripheral IV injection at least three minutes before confirmation of pancreatic perfusion. Waited at least 30 s to determine perfusion with IMAGE1 STM H3-LINK and D-LIGHT P system (KARL STORZ SE & Co.KR, Tuttlingen, Germany) | 1 | 1 | Reinforcement using surgical glue (Greenplast QVR 2 mL, GREEN CROSS Corp., Yongin, Gyeonggi, Republic of Korea) |
Doussot et al[27] | ICG | Pancreas stump was inspected after ICG IV injection (INFRACYANINE 0.1 mg/kg; Serb, Paris, France) using a microscope with near-infrared light source allowing real-time ICG perfusion assessment with near-infrared light images | 30 | 6 | One patient had further 3 cm pancreatic stump resection |
Iguchi et al[26] | ICG | 10 mg of ICG was administered IV. The presence of fluorescence in the pancreatic remnant was definitively confirmed with a fluorescence camera | 1 | 0 | NA |
Ref. | Total number developing POPF | Number hypoperfused developing POPF | Delayed gastric emptying | Post-pancreatectomy haemorrhage | 90-d mortality |
Strasberg et al[25] | 4 | 2 (1.6) | 11 | 0 | 1 |
Subar et al[24] | 0 | 0 (0) | 0 | 0 | NR |
Rho et al[23] | 1 | 1 grade A | 1 grade B | 0 | NR |
Doussot et al[27] | 12 (9 grade A and 3 grade B) | 3 (1 grade A and 2 grade B) | 5 (17) | 2 (1 grade B and 1 grade C) | 0 |
Iguchi et al[26] | 1 grade B | 1 grade B | 0 | 0 | Alive at 2 mo |
- Citation: Robertson FP, Spiers HVM, Lim WB, Loveday B, Roberts K, Pandanaboyana S. Intraoperative pancreas stump perfusion assessment during pancreaticoduodenectomy: A systematic scoping review. World J Gastrointest Surg 2023; 15(8): 1799-1807
- URL: https://www.wjgnet.com/1948-9366/full/v15/i8/1799.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v15.i8.1799