In April 2020, Annals of Surgical Oncology (IF: 4.097), a SCI journal in the field of surgery and oncology, reported the first case worldwide of laparoscopic duodenum-preserving total pancreatic head resection (LDPPHRt) performed in West China Hospital, presenting the technical jists and complete surgical procedures through surgical videos. Cai He and Gao Pan of Minimally Invasive Hepato-bilio-pancreatic Surgery Center of WCH, and Dr. Chen Sirui of Mianyang Central Hospital are the first authors, and Prof. Peng Bing of Minimally Invasive Hepato-bilio-pancreatic Surgery Center of WCH is the corresponding author.

The patient in this study was a 29-year-old woman with perennial unbearable abdominal and back pain due to chronic pancreatitis, which severely affected the quality of life. After adequate preoperative evaluation and preparation, Prof. Peng Bing decided to perform fluorescence-guided LDPPHRt. Multiple real-time fluorescence navigation (as shown in Figure 1) during the operation exhibited the advantage of fluorescence enhancement, contributing to the identification of bile duct by the surgeons and the protection of blood supply. The surgery was successfully completed in 251 minutes, with intraoperative bleeding of nearly 150ml. The patient was hospitalized for 13 days after operation and recovered well.

For chronic pancreatitis, benign pancreatic head tumors and low-grade malignant tumors, laparoscopic duodenum-preserving pancreatic head resection (LDPPHR) can not only preserve the integrity of organ functions such as duodenum and bile duct, but also have the minimally invasive and cosmetic advantages of laparoscopic surgery.

In July 2019, Prof. Peng Bing's team completed the first indocyanine green-enhanced fluorescence-guided LDPPHRt, which was first reported internationally in 2020 and taken as a routine and characteristic surgery of WCH. From February 2019 to November 2019, Prof. Peng Bing's team had successfully completed 24 cases of LDPPHRt. Associate Prof. Cai Yunqiang summarized the results and published them in Surgical Endoscopy--which ranks first in the Journal of Laparoscopic Surgery and has published the largest number of reported cases of LDPPHRt. 

Link to article: https://link.springer.com/article/10.1245/s10434-020-08360-6