case_images: PMC11698816_01
case_images: A Preoperative computed tomography images demonstrative of pancreatic head cancer in contact with the common hepatic artery (CHA), gastroduodenal artery (GDA), and proper hepatic artery (PHA). B Intraoperative findings indicate arterial involvement to the CHA, GDA, and PHA
case_images: 10434_2024_16659_Fig1_HTML.jpg
case_images: PMC11698816_01_10434_2024_16659_Fig1_HTML.jpg
case_images: Fig1
case_images: A 55-year-old man was diagnosed with borderline resectable pancreatic head cancer, exhibiting arterial involvement to the common hepatic artery (CHA), gastroduodenal artery (GDA), and proper hepatic artery (PHA) (Fig. 1A). At this point, the specimen was connected only with the hepatic artery and PV (Fig. 1B).
case_images: A The SPY intraoperative perfusion assessment system was utilized during the pancreatectomy. The CHA and PHA were anastomosed in an end-to-end fashion (triangle). B In color-segmented fluorescence mode, arterial blood perfusion was immediately visualized after the injection of indocyanine green
case_images: 10434_2024_16659_Fig2_HTML.jpg
case_images: PMC11698816_01_10434_2024_16659_Fig2_HTML.jpg
case_images: Fig2
case_images: After reconstruction of blood vessels, the SPY Portable Handheld Imager (SPY-PHI, Stryker, USA) was used to confirm blood supply in real time on the monitor (Fig. 2A). Following an injection of indocyanine green (ICG) (2.5 mg/body), arterial blood perfusion to the liver via the reconstructed hepatic artery was immediately visualized, followed by perfusion of the PV (Fig. 2B).