Identification of inferior pancreaticoduodenal artery during pancreaticoduodenectomy using augmented reality‐based navigation system

In pancreaticoduodenectomy (PD), early ligation of the inferior pancreaticoduodenal artery (IPDA) before efferent veins has been advocated to decrease blood loss by congestion of the pancreatic head to be resected. In this study, we herein report the utility of early identification of the IPDA using an augmented reality (AR)‐based navigation system (NS).

[1]  S. Ishihara,et al.  Three-dimensional models of arteries constructed using multidetector-row CT images to perform pancreatoduodenectomy safely following dissection of the inferior pancreaticoduodenal artery , 2010, Journal of hepato-biliary-pancreatic sciences.

[2]  K. Lillemoe,et al.  Resected adenocarcinoma of the pancreas— 616 patients: Results, outcomes, and prognostic indicators , 2000, Journal of Gastrointestinal Surgery.

[3]  H. Reber,et al.  Improved survival following pancreaticoduodenectomy to treat adenocarcinoma of the pancreas: the influence of operative blood loss. , 2008, Archives of surgery.

[4]  Silke Geisen Augmented Reality in surgery , 2005 .

[5]  K. Hirata,et al.  Vascular anatomy of the pancreaticoduodenal region: A review. , 1999, Journal of hepato-biliary-pancreatic surgery.

[6]  Naoki Suzuki,et al.  Utility of augmented reality system in hepatobiliary surgery , 2013, Journal of hepato-biliary-pancreatic sciences.

[7]  D. Gouma,et al.  Rates of Complications and Death After Pancreaticoduodenectomy: Risk Factors and the Impact of Hospital Volume , 2000, Annals of surgery.

[8]  S. Barreto,et al.  Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes , 2011, Langenbeck's Archives of Surgery.

[9]  O. Farges,et al.  Early retropancreatic dissection during pancreaticoduodenectomy. , 2005, American journal of surgery.

[10]  S. Kawasaki,et al.  Pancreatoduodenectomy With or Without Early Ligation of the Inferior Pancreatoduodenal Artery: Comparison of Intraoperative Blood Loss and Short-Term Outcome , 2010, World Journal of Surgery.

[11]  T. Dumitrașcu,et al.  Posterior versus standard approach in pancreatoduodenectomy: a case-match study , 2009, Langenbeck's Archives of Surgery.

[12]  Masafumi Nakamura,et al.  First jejunal vein oriented mesenteric excision for pancreatoduodenectomy , 2013, Journal of Gastroenterology.

[13]  K. Katada,et al.  Pancreatoduodenectomy in which dissection of the efferent arteries of the head of the pancreas is performed first. , 2007, Journal of hepato-biliary-pancreatic surgery.

[14]  M. Koch,et al.  The "artery first" approach for resection of pancreatic head cancer. , 2010, Journal of the American College of Surgeons.

[15]  D. Sargent,et al.  A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma. , 2005, Surgery.

[16]  M. Braga,et al.  A Prognostic Score to Predict Major Complications After Pancreaticoduodenectomy , 2011, Annals of surgery.

[17]  Naoki Suzuki,et al.  Short rigid scope and stereo-scope designed specifically for open abdominal navigation surgery: clinical application for hepatobiliary and pancreatic surgery , 2013, Journal of hepato-biliary-pancreatic sciences.

[18]  H. Yamaue,et al.  CLIP Method (Preoperative CT Image-assessed Ligation of Inferior Pancreaticoduodenal Artery) Reduces Intraoperative Bleeding during Pancreaticoduodenectomy , 2007, World Journal of Surgery.

[19]  P. Pessaux,et al.  Pancreaticoduodenectomy: Superior mesenteric artery first approach , 2006, Journal of Gastrointestinal Surgery.