Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy
Hyperspectral imaging (HSI) in abdominal surgery is a new non-invasive tool for the assessment of the perfusion and oxygenation of various tissues and organs. Its benefit in pancreatic surgery is still unknown. The aim of this study was to evaluate the key impact of using HSI during pancreatoduodene...
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doaj-a526f62f05d645ba8f88def78e32664c2021-06-30T23:32:29ZengMDPI AGCancers2072-66942021-06-01132846284610.3390/cancers13112846Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during PancreatoduodenectomyYusef Moulla0Dorina Christin Buchloh1Hannes Köhler2Sebastian Rademacher3Timm Denecke4Hans-Jonas Meyer5Matthias Mehdorn6Undine Gabriele Lange7Robert Sucher8Daniel Seehofer9Boris Jansen-Winkeln10Ines Gockel11Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Diagnostic and Interventional Radiology, University Hospital of Leipzig, D-04103 Leipzig, GermanyDepartment of Diagnostic and Interventional Radiology, University Hospital of Leipzig, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Liebigstr. 20, D-04103 Leipzig, GermanyHyperspectral imaging (HSI) in abdominal surgery is a new non-invasive tool for the assessment of the perfusion and oxygenation of various tissues and organs. Its benefit in pancreatic surgery is still unknown. The aim of this study was to evaluate the key impact of using HSI during pancreatoduodenectomy (PD). In total, 20 consecutive patients were included. HSI was recorded during surgery as part of a pilot study approved by the local Ethics Committee. Data were collected prospectively with the TIVITA<sup>®</sup> Tissue System. Intraoperative HS images were recorded before and after gastroduodenal artery (GDA) clamping. We detected four patients with celiac artery stenosis (CAS) caused by a median arcuate ligament (MAL). In two of these patients, a reduction in liver oxygenation (StO<sub>2</sub>) was discovered 15 and 30 min after GDA clamping. The MAL was divided in these patients. HSI showed an improvement of liver StO<sub>2</sub> after MAL division (from 61% to 73%) in one of these two patients. There was no obvious decrease in liver StO<sub>2</sub> in the other two patients with CAS. HSI, as a non-invasive procedure, could be helpful in evaluating liver and gastric perfusion during PD, which might assist surgeons in choosing the best surgical approach and in improving patients’ outcomes.https://www.mdpi.com/2072-6694/13/11/2846hyperspectral imaging (HSI)pancreatoduodenectomy (PD)celiac artery stenosis (CAS) |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yusef Moulla Dorina Christin Buchloh Hannes Köhler Sebastian Rademacher Timm Denecke Hans-Jonas Meyer Matthias Mehdorn Undine Gabriele Lange Robert Sucher Daniel Seehofer Boris Jansen-Winkeln Ines Gockel |
spellingShingle |
Yusef Moulla Dorina Christin Buchloh Hannes Köhler Sebastian Rademacher Timm Denecke Hans-Jonas Meyer Matthias Mehdorn Undine Gabriele Lange Robert Sucher Daniel Seehofer Boris Jansen-Winkeln Ines Gockel Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy Cancers hyperspectral imaging (HSI) pancreatoduodenectomy (PD) celiac artery stenosis (CAS) |
author_facet |
Yusef Moulla Dorina Christin Buchloh Hannes Köhler Sebastian Rademacher Timm Denecke Hans-Jonas Meyer Matthias Mehdorn Undine Gabriele Lange Robert Sucher Daniel Seehofer Boris Jansen-Winkeln Ines Gockel |
author_sort |
Yusef Moulla |
title |
Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy |
title_short |
Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy |
title_full |
Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy |
title_fullStr |
Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy |
title_full_unstemmed |
Hyperspectral Imaging (HSI)—A New Tool to Estimate the Perfusion of Upper Abdominal Organs during Pancreatoduodenectomy |
title_sort |
hyperspectral imaging (hsi)—a new tool to estimate the perfusion of upper abdominal organs during pancreatoduodenectomy |
publisher |
MDPI AG |
series |
Cancers |
issn |
2072-6694 |
publishDate |
2021-06-01 |
description |
Hyperspectral imaging (HSI) in abdominal surgery is a new non-invasive tool for the assessment of the perfusion and oxygenation of various tissues and organs. Its benefit in pancreatic surgery is still unknown. The aim of this study was to evaluate the key impact of using HSI during pancreatoduodenectomy (PD). In total, 20 consecutive patients were included. HSI was recorded during surgery as part of a pilot study approved by the local Ethics Committee. Data were collected prospectively with the TIVITA<sup>®</sup> Tissue System. Intraoperative HS images were recorded before and after gastroduodenal artery (GDA) clamping. We detected four patients with celiac artery stenosis (CAS) caused by a median arcuate ligament (MAL). In two of these patients, a reduction in liver oxygenation (StO<sub>2</sub>) was discovered 15 and 30 min after GDA clamping. The MAL was divided in these patients. HSI showed an improvement of liver StO<sub>2</sub> after MAL division (from 61% to 73%) in one of these two patients. There was no obvious decrease in liver StO<sub>2</sub> in the other two patients with CAS. HSI, as a non-invasive procedure, could be helpful in evaluating liver and gastric perfusion during PD, which might assist surgeons in choosing the best surgical approach and in improving patients’ outcomes. |
topic |
hyperspectral imaging (HSI) pancreatoduodenectomy (PD) celiac artery stenosis (CAS) |
url |
https://www.mdpi.com/2072-6694/13/11/2846 |
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