BACKGROUND: Preservation of the spleen in distal pancreatectomy has recently attracted considerable attention. Our current study aimed in the first instance to define the safety of @entity3813 -WT in relation to the capacity of this technique to achieve preservation of the spleen and secondly to investigate the effectiveness of a planned @entity3813 -WT procedure or early conversion to @entity3813 -WT in selected @entity1 with a large @entity5 attached to the splenic vessels. METHODS: Among 1056 @entity1 who underwent a laparoscopic distal pancreatectomy between January 2005 and December 2014 at our hospital, 122 (24.6  %) underwent @entity3813 -WT which were analyzed. The 122 @entity1 were categorized into two groups chronologically (early group: 2005-2012, late group: 2013-2014). RESULTS: The median follow-up was 35  months, and the median operation time was 181  min. The median postoperative hospital stay was 7  days, and the median estimated @entity190 was 316  ml. @entity260 occurred in 9 @entity1 (7.3  %), including 4 @entity1 (3.2  %) with major @entity3472 (ISGPF grade B, C). A reoperation to address @entity86 was needed in one @entity1 . During a median follow-up of 35  months, there were no clinical significant @entity1188 or gastric varices in any case. All @entity1 were observed conservatively. In @entity1 in the late group who underwent the @entity3813 -WT, the mean operating time (171 vs. 205  min, p  =  0.001) and mean estimated @entity190 (232.1 vs. 370.0  ml, p  =  0.017) were significantly less than the early group cases who received @entity3813 -WT. CONCLUSIONS: A @entity3813 -WT is a safe treatment strategy in select cases when used as a way of preserving the spleen. When splenic vessel preservation is technically challenging, for example when the @entity5 is enlarged or is attached to the splenic vessels, planned @entity3813 -WT or early conversion to @entity3813 -WT may be a feasible option.

A single-center experience with the laparoscopic Warshaw technique in 122 consecutive XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity3472 :: ('MESH:D010185', 'Disease') :: ['pancreatic fistula'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['splenic infarctions'] @entity3813 :: ('7939', 'Gene') :: ['lap'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative bleeding']
@entity1 :: (9606,Species) :: ['patients']
