Laparoscopic Spleen-Preserving Distal Pancreatectomy With Sp
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Two surgical techniques are available to preserve the spleen. First, Warshaw described a technique in which splenic vessels are ligated with the preservation of the short gastric and left gastroepiploic vessels. Second, the operation can also be performed by sparing the splenic vessels, which assures increased blood supply to the spleen.Neither one of these techniques is favored over the other, and the reasons for selection remain unclear. Ligation of the splenic vessels is known to have potential risks including postoperative infarction of the spleen and the need for a reoperation.To our knowledge, only a few studies with a small number of patients have compared both laparoscopic techniques. The objective of this study was to compare splenic vessel preservation (SVP) with the Warshaw technique (WT) in the surgical management of patients undergoing laparoscopic spleen-preserving distal pancreatectomy (LSPDP)....

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