AUTHOR=Zhao Chuanbing , Wei Hongzhen , He Long , Deng Canglong , Lu Yu , Wang Jingjie , Yin Tao 

TITLE=Anatomical landmark-guided laparoscopy for migrant fishbone - induced pancreatic abscesses: a case series study and review of the literature

JOURNAL=Frontiers in Medicine

VOLUME=Volume 12 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1598619

DOI=10.3389/fmed.2025.1598619

ISSN=2296-858X

ABSTRACT=IntroductionPancreatic abscesses resulting from gastrointestinal fishbone migration represent rare yet clinically challenging surgical emergencies, with standardized management protocols remaining undefined.MethodsWe 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.ResultsThe 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; *p* < 0.01). Crucially, this strategy attained hemostatic efficacy equivalent to augmented reality navigation (ARN)-assisted techniques without preoperative conditioning.ConclusionThese 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.