Zhao Chuanbing, Wei Hongzhen, He Long, Deng Canglong, Lu Yu, Wang Jingjie, Yin Tao
Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Sino-German Laboratory of Personalized Medicine for Pancreatic Cancer, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Med (Lausanne). 2025 Jul 2;12:1598619. doi: 10.3389/fmed.2025.1598619. eCollection 2025.
Pancreatic abscesses resulting from gastrointestinal fishbone migration represent rare yet clinically challenging surgical emergencies, with standardized management protocols remaining undefined.
We analyzed three consecutive cases (2024-2025) treated via anatomical landmark-guided laparoscopy alongside 11 PubMed-indexed cases (2004-2025). This study evaluates a novel surgical paradigm for complete foreign body retrieval and abscess resolution.
The laparoscopic strategy achieved technical precision with minimal operative duration (73 ± 6 min) and blood loss (6.67 ± 4.71 mL), eliminating pancreatic fistula or hemorrhagic complications. Postoperative hospitalization was reduced by 43% compared to conventional interventions (5.3 ± 1.5 vs. 9.3 ± 3.1 days; ** < 0.01). Crucially, this strategy attained hemostatic efficacy equivalent to augmented reality navigation (ARN)-assisted techniques without preoperative conditioning.
These findings establish a reproducible framework integrating anatomical landmark navigation for emergency pancreatic abscess management. The approach offers clinically validated advantages in procedural safety, visceral preservation, and accelerated recovery trajectories compared to existing strategies.
胃肠道鱼骨迁移导致的胰腺脓肿是罕见但临床上具有挑战性的外科急症，目前尚无标准化的管理方案。
我们分析了连续3例（2024 - 2025年）通过解剖标志引导腹腔镜治疗的病例以及11例PubMed索引病例（2004 - 2025年）。本研究评估了一种用于完全取出异物和解决脓肿的新型手术模式。
腹腔镜手术策略实现了技术精准性，手术时间最短（73 ± 6分钟），失血量少（6.67 ± 4.71毫升），消除了胰瘘或出血并发症。与传统干预措施相比，术后住院时间减少了43%（5.3 ± 1.5天对9.3 ± 3.1天；**<0.01）。至关重要的是，该策略在无需术前准备的情况下达到了与增强现实导航（ARN）辅助技术相当的止血效果。
这些发现建立了一个可重复的框架，将解剖标志导航整合到紧急胰腺脓肿管理中。与现有策略相比，该方法在手术安全性、脏器保留和加速恢复进程方面具有临床验证的优势。
