ORIGINAL RESEARCH article
Front. Med.
Sec. Gastroenterology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1598619
Anatomical Landmark-Guided Laparoscopy for Migrant Fishbone -Induced Pancreatic Abscesses: A Case Series Study and Review of the Literature
Provisionally accepted
- Wuhan Union Hospital, Wuhan, Hebei Province, China
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Pancreatic abscesses arising from gastrointestinal fishbone migration present rare yet clinically challenging surgical emergencies, with standardized management protocols remaining undefined. Analyzing 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 achieving complete foreign body retrieval and abscess resolution in all instances. The laparoscopic approach demonstrated technical precision through minimal operative duration (73±6 min) and blood loss (6.67±4.71 mL), eliminating pancreatic fistula or hemorrhagic complications while reducing postoperative hospitalization by 43% compared to conventional interventions (5.3±1.5 vs. 9.3±3.1 days, p<0.01). Notably, this strategy attained equivalent hemostatic efficacy to augmented reality navigation (ARN)-assisted techniques without requiring preoperative conditioning regimens. These findings establish a reproducible framework integrating anatomical landmark navigation for emergency pancreatic abscess management, offering clinically validated advantages in procedural safety, visceral preservation, and accelerated recovery trajectories compared to existing cases.
Keywords: pancreatic foreign body, fishbone, Pancreatic abscess, novel laparoscopic strategies, case series
Received: 23 Mar 2025; Accepted: 26 May 2025.
Copyright: © 2025 Zhao, Wei, He, Deng, Lu, Wang and Yin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Tao Yin, Wuhan Union Hospital, Wuhan, 430022, Hebei Province, China
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