Application of intraoperative navigation in 3D laparoscopic pancreaticoduodenectomy: A case report

Dong,Hanzhang; Luo,Mingjian; Ke,Shaobiao; Zhan,Jiulin; Liu,Xi; Li,Zhiwei

doi:10.3892/etm.2022.11380

July-2022 Volume 24 Issue 1

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July-2022 Volume 24 Issue 1

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Case Report Open Access

Application of intraoperative navigation in 3D laparoscopic pancreaticoduodenectomy: A case report

Authors:
- Hanzhang Dong
- Mingjian Luo
- Shaobiao Ke
- Jiulin Zhan
- Xi Liu
- Zhiwei Li
View Affiliations / Copyright

Affiliations: Department of Hepatobiliary and Pancreatic Surgery, Kanghua Hospital, Dongguan, Guangdong 523080, P.R. China

Copyright: © Dong et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 452
|
Published online on: May 18, 2022

https://doi.org/10.3892/etm.2022.11380
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Abstract

Laparoscopic pancreaticoduodenectomy is one of the most challenging operations in abdominal surgery, with a high risk and numerous potential complications. Laparoscopy can magnify the surgical field, improving vision, but it cannot see through and identify the internal structures of the surgical field. Intraoperative navigation is a technology currently being developed; it projects the three‑dimensional (3D) image established before surgery onto the surgical area during surgery, locates the anatomical landmarks, matches the 3D image with the actual image, and then displays the relationship between the tumor and the surrounding blood vessels. The important structures such as tumors, blood vessels, bile ducts and pancreatic ducts are quickly identified. Secondary injuries are reduced, the operation speed is increased and the surgical safety is improved. The present study describes the use of surgical navigation technology in the 3D laparoscopic pancreaticoduodenectomy of a 64‑year‑old man. The present paper reports the treatment process of the case, the application of surgical navigation technology in the operation and discusses the advantages of surgical navigation technology in 3D laparoscopic pancreaticoduodenectomy.

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1	Karim SAM, Abdulla KS, Abdulkarim QH and Rahim FH: The outcomes and complications of pancreaticoduodenectomy (Whipple procedure): Cross sectional study. Int J Surg. 52:383–387. 2018.PubMed/NCBI View Article : Google Scholar
2	Ilic M and Ilic I: Epidemiology of pancreatic cancer. World J Gastroenterol. 22:9694–9705. 2016.PubMed/NCBI View Article : Google Scholar
3	Zhang H, Guo X, Xia J, Zhu F, Shen M, Wang X, Wang M and Qin R: Comparison of Totally 3-Dimensional laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy. Pancreas. 47:592–600. 2018.PubMed/NCBI View Article : Google Scholar
4	Sabri SA and York PJ: Preoperative planning for intraoperative navigation guidance. Ann Transl Med. 9(87)2021.PubMed/NCBI View Article : Google Scholar
5	Zimmerman AM, Roye DG and Charpentier KP: A comparison of outcomes between open, laparoscopic and robotic pancreaticoduodenectomy. HPB (Oxford). 20:364–369. 2018.PubMed/NCBI View Article : Google Scholar
6	Kumar RP, Pelanis E, Bugge R, Brun H, Palomar R, Aghayan DL, Fretland ÅA, Edwin B and Elle OJ: Use of mixed reality for surgery planning: Assessment and development workflow. J Biomed Inform. 112S(100077)2020.PubMed/NCBI View Article : Google Scholar
7	Gabrielli ME, Saun TJ, Jung JJ and Grantcharov TP: Assessment of 3-Dimensional vs 2-Dimensional imaging and technical performance using a multiport intraoperative data capture and analytic system for patients undergoing laparoscopic Roux-en-Y gastric bypass surgery. JAMA Netw Open. 3(e1920084)2020.PubMed/NCBI View Article : Google Scholar
8	Simpfendörfer T, Li Z, Gasch C, Drosdzol F, Fangerau M, Müller M, Maier-Hein L, Hohenfellner M and Teber D: Three-Dimensional reconstruction of preoperative imaging improves surgical success in laparoscopy. J Laparoendosc Adv Surg Tech A. 27:181–185. 2017.PubMed/NCBI View Article : Google Scholar
9	Aiolfi A, Lombardo F, Bonitta G, Danelli P and Bona D: Systematic review and updated network meta-analysis comparing open, laparoscopic, and robotic pancreaticoduodenectomy. Updates Surg. 73:909–922. 2021.PubMed/NCBI View Article : Google Scholar
10	Bencini L, Urciuoli I, Trafeli M, Paolini C, Moraldi L, Tribuzi A, Pacciani S and Coratti A: Robotic pancreatic surgery: Minimally invasive approach to challenging operations. Minerva Surg. 76:138–145. 2021.PubMed/NCBI View Article : Google Scholar
11	Subar D, Gobardhan PD and Gayet B: Laparoscopic pancreatic surgery: An overview of the literature and experiences of a single center. Best Pract Res Clin Gastroenterol. 28:123–132. 2014.PubMed/NCBI View Article : Google Scholar
12	Kawaida H, Kono H, Hosomura N, Amemiya H, Itakura J, Fujii H and Ichikawa D: Surgical techniques and postoperative management to prevent postoperative pancreatic fistula after pancreatic surgery. World J Gastroenterol. 25:3722–3737. 2019.PubMed/NCBI View Article : Google Scholar
13	Xu DB, Zhao ZM, Xu Y and Liu R: Hybrid pancreatoduodenectomy in laparoscopic and robotic surgery: A single-center experience in China. Surg Endosc. 35:1703–1712. 2021.PubMed/NCBI View Article : Google Scholar
14	Nassour I, Paniccia A, Moser AJ and Zureikat AH: Minimally invasive techniques for pancreatic resection. Surg Oncol Clin N Am. 30:747–758. 2021.PubMed/NCBI View Article : Google Scholar
15	Chalikonda S, Aguilar-Saavedra JR and Walsh RM: Laparoscopic robotic-assisted pancreaticoduodenectomy: A case-matched comparison with open resection. Surg Endosc. 26:2397–2402. 2012.PubMed/NCBI View Article : Google Scholar
16	Kabir T, Tan HL, Syn NL, Wu EJ, Kam JH and Goh BKP: Outcomes of laparoscopic, robotic, and open pancreatoduodenectomy: A network meta-analysis of randomized controlled trials and propensity-score matched studies. Surgery. 171:476–489. 2022.PubMed/NCBI View Article : Google Scholar

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Application of intraoperative navigation in 3D laparoscopic pancreaticoduodenectomy: A case report

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Abstract

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