Video-Based Indocyanine Green Fluorescence Enables Safe and Effective Robotic Duodenum-Preserving Pancreatic Head Resection

Robotic duodenum-preserving pancreatic head resection (DPPHR) utilizing video-based indocyanine green fluorescence imaging was successfully performed on a 48-year-old patient with pancreatic duct stones and chronic pancreatitis. The surgery lasted 265 minutes with minimal blood loss. Postoperative pathology confirmed the diagnoses, and the patient was discharged without complications after 13 days. This technique, employed in four total cases, proved to be secure and feasible, offering new possibilities for patients with uncertain delineation between pancreatic and biliary ductal structures.