Preoperative 3D reconstruction and fluorescent indocyanine green for laparoscopic duodenum preserving pancreatic head resection: A case report

Figure 1 Preoperative examination and surgical planning. A: Multiple cystic lesions with septum seen in the head and neck of the pancreas. The computer tomography value is 20 Hu. The lesions are connected to the main pancreatic duct; B: preoperative 3D reconstruction; C: plan of surgical resection with postoperative pancreatic changes are visualized in 3D reconstruction.

Figure 2 Intraoperative operation and postoperative pathological examination. A: Bile duct display after 40 min of fluorescence injection; B: Surgical wound after complete resection of pancreatic head tissue under fluorescence laparoscopy; C: Surgical wound after laparoscopic complete resection of pancreatic head; D: Postoperative pathological 1; E: Postoperative pathological 2.

Figure 3 Postoperative follow-up. A: Follow-up computer tomography (CT) after 5 mo; B: Follow-up CT after 11 mo; C: Follow-up CT after 17 mo.