2016 Volume 49 Issue 11 Pages 1150-1156
Recently, several studies have reported that intraoperative fluorography is useful for evaluating the blood flow of organs, however there are few reports specifically on the pancreas. A 74-year-old man was followed up after pancreatoduodenectomy for pancreatic cancer and transcatheter arterial embolization (TAE) for bleeding after bile duct-jejunum anastomosis which he underwent at 66 years of age. Contrast enhanced CT, MRI and PET revealed a tumor in the remnant pancreatic tail. Since the diagnosis was pancreatic tail cancer, we performed distal pancreatectomy using intraoperative indocyanine green (ICG) fluorography to preserve a part of the pancreatic body. After clamping the splenic artery around the prescribed cutting line in the pancreatic body, ICG fluorography showed that the remnant pancreas was perfused from the pancreatic body to the direction of the tail. Intraoperative fluorography provides objective evaluation of the blood flow of the remnant pancreas, and enables safe pancreatectomy.
