title: A new technique for minimally invasive irreversible electroporation of tumors in the head and body of the pancreas.
abstract: Palliative irreversible electroporation of pancreatic adenocarcinomas is rapidly gaining in interest since a large proportion of these patients cannot be radically resected.
  
  
  
  This is a description of a minimally invasive approach to irreversible electroporation of pancreatic tumors using computer-assisted navigation, laparoscopy and laparoscopic ultrasound to correctly guide electrodes into the tissue.
  
  
  
  The procedure is presented.
  
  
  
  Minimally invasive irreversible electroporation of pancreatic tumors through computer-assisted navigation of needles during laparoscopy is a feasible and accurate approach.
authors: Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. david.stillstrom@ki.se.
authors: David
authors: D
authors: Stillström
authors: Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
authors: Henrik
authors: H
authors: Nilsson
authors: MeVis Medical Solutions AG, Bremen, Germany.
authors: Michaela
authors: M
authors: Jesse
authors: CAScination AG, Bern, Switzerland.
authors: Matthias
authors: M
authors: Peterhans
authors: Department of Surgery, Clintec, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.|Surgical Gastroenterology Unit, Department of Surgery, Groote Schuur Hospital, University of Cape Town Health Sciences Faculty, Cape Town, South Africa.
authors: Eduard
authors: E
authors: Jonas
authors: Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
authors: Jacob
authors: 0000-0002-6894-9146
authors: J
authors: Freedman
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000368:Aged; D018274:Electroporation / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D009339:Needles; D010166:Palliative Care; D010179:Pancreas / Q000000981:diagnostic imaging / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
keywords: Adenocarcinoma; Computer-assisted navigation; IRE; Irreversible electroporation; Laparoscopy; Pancreas