{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T04:07:11Z","timestamp":1751515631386,"version":"3.41.0"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pancreatic abscesses resulting from gastrointestinal fishbone migration represent rare yet clinically challenging surgical emergencies, with standardized management protocols remaining undefined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed three consecutive cases (2024\u20132025) treated via anatomical landmark-guided laparoscopy alongside 11 PubMed-indexed cases (2004\u20132025). This study evaluates a novel surgical paradigm for complete foreign body retrieval and abscess resolution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The laparoscopic strategy achieved technical precision with minimal operative duration (73 \u00b1 6 min) and blood loss (6.67 \u00b1 4.71 mL), eliminating pancreatic fistula or hemorrhagic complications. Postoperative hospitalization was reduced by 43% compared to conventional interventions (5.3 \u00b1 1.5 vs. 9.3 \u00b1 3.1 days; *<jats:italic>p<\/jats:italic>* &amp;lt; 0.01). Crucially, this strategy attained hemostatic efficacy equivalent to augmented reality navigation (ARN)-assisted techniques without preoperative conditioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1598619","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T13:51:47Z","timestamp":1751464307000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Anatomical landmark-guided laparoscopy for migrant fishbone - induced pancreatic abscesses: a case series study and review of the literature"],"prefix":"10.3389","volume":"12","author":[{"given":"Chuanbing","family":"Zhao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongzhen","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canglong","family":"Deng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjie","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"669","DOI":"10.6092\/1590-8577\/1902","article-title":"Unusual foreign body of pancreas: Surgical management.","volume":"14","author":"Yadav","year":"2013","journal-title":"JOP."},{"key":"B2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.5152\/turkjsurg.2017.3391","article-title":"Foreign body: A sewing needle migrating from the gastrointestinal tract to pancreas.","volume":"34","author":"Dal","year":"2018","journal-title":"Turk J Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.1111\/ans.17226","article-title":"Caudate lobe: The last barrier - an unusual place for a foreign body.","volume":"92","author":"Kehagias","year":"2022","journal-title":"ANZ J Surg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1186\/s40792-018-0559-4","article-title":"Laparoscopic removal of an ingested fishbone that penetrated the stomach and was embedded in the pancreas: A case report.","volume":"4","author":"Mima","year":"2018","journal-title":"Surg Case Rep."},{"key":"B5","doi-asserted-by":"publisher","first-page":"123","DOI":"10.11604\/pamj.2020.36.123.23948","article-title":"Laparoscopic removal of an ingested fishbone from the head of the pancreas: Case report and review of literature.","volume":"36","author":"Mulita","year":"2020","journal-title":"Pan Afr Med J."},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.17235\/reed.2024.10944\/2024","article-title":"Acute pancreatitis due to fishbone.","author":"D\u00edaz Granados","year":"2024","journal-title":"Rev Esp Enferm Dig."},{"key":"B7","doi-asserted-by":"publisher","first-page":"6326","DOI":"10.1007\/s00464-022-09195-w","article-title":"Augmented reality navigation facilitates laparoscopic removal of foreign body in the pancreas that cause chronic complications.","volume":"36","author":"Lin","year":"2022","journal-title":"Surg Endosc."},{"key":"B8","doi-asserted-by":"publisher","first-page":"77","DOI":"10.4240\/wjgs.v12.i2.77","article-title":"Appendicitis-mimicking presentation in fishbone induced microperforation of the distal duodenum: A case report.","volume":"12","author":"Lim","year":"2020","journal-title":"World J Gastrointest Surg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1093\/qjmed\/hcs166","article-title":"Pre-operative diagnosis of pancreatic abscess from a penetrating fishbone.","volume":"106","author":"Huang","year":"2013","journal-title":"QJM."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1935","DOI":"10.1007\/s10620-004-9595-y","article-title":"A case of fishbone perforation of the stomach mimicking a locally advanced pancreatic carcinoma.","volume":"49","author":"Goh","year":"2004","journal-title":"Dig. 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