Long term outcome after minimally invasive and open Warshaw and Kimura techniques for spleen-preserving distal pancreatectomy: International multicenter retrospective study

Paiella, Salvatore; Pastena, Matteo De; Korrel, Maarten; Pan, Teresa Lucia; Butturini, Giovanni; Nessi, Chiara; Robertis, Riccardo De; Landoni, Luca; Casetti, Luca; Giardino, Alessandro; Busch, Olivier R.; Pea, Antonio; Esposito, Alessandro; Besselink, Marc G.; Bassi, Claudio; Salvia, Roberto

doi:10.1016/j.ejso.2019.04.004

Cited by 25 publications

(22 citation statements)

References 22 publications

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“…Furthermore, we compared dynamic changes in peripheral blood cell populations between the SVP and WT groups for patients receiving SPDP, and the results did not show signi cant differences according to short-term and long-term perspectives postoperatively, indicating that different techniques of SPDP may not differ from each other in terms of hematological changes. This may partially explain the comparable clinical outcomes between patients undergoing SVP and those undergoing WT [19].…”

Section: Discussionmentioning

confidence: 88%

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

Cui

Liu

Zheng

et al. 2020

Preprint

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Background: The clinical outcomes of distal pancreatectomy with splenectomy (DPS) and spleen-preserving distal pancreatectomy (SPDP) patients have been generally investigated. However, postoperative hematological changes after distal pancreatectomy with or without splenectomy are poorly understood. Methods: Information from patients undergoing distal pancreatectomy (DP) between January 2014 and June 2019 at a single institution was reviewed. A linear mixed-effect model was used to compare dynamic hematological changes between different groups. Results: In total, 302 patients who underwent DP were enrolled. In the long term, most postoperative hematological parameters remained significantly higher than preoperative levels in the DPS group, while postoperative lymphocyte, monocyte, basophil, and platelet levels returned to preoperative levels in the SPDP group. All postoperative hematological parameters except for red blood cell count and serum hemoglobulin level were significantly higher in the DPS group than in the SPDP group. There were no significant differences in hematological changes between the splenic vessel preservation (SVP) and Warshaw technique (WT) groups. Conclusions: Postoperative hematological changes were significantly different between the DPS and SPDP groups. Compared to DPS, SPDP reduced abnormal hematological changes caused by splenectomy. SVP and WT were comparable in terms of postoperative hematological changes.

show abstract

Section: Discussionmentioning

confidence: 88%

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

Cui

Liu

Zheng

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…If there is no feasibility for this approach, the Warsaw procedure can be carried out. These recommendations are supported further by recent multicentre retrospective research conducted by Paiella et al wherein if a Kimura technique does not seem feasible during SPDP, a Warshaw technique was suggested instead of conducting splenectomy [60]. The transection of splenic vessels is done in this circumstance.…”

Section: Kimura and Warshaw Techniques For Spleen-preserving Distal Pancreatectomymentioning

confidence: 89%

Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results

Coco¹,

Leanza²,

Schillaci³

et al. 2022

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Diagnosis of pancreatic cancer is challenging in the initial phases because its progression is rapid. The pancreatic tail and body roughly accounts for 20-30% of all cancerous cases. The standard treatment for symptomatic benign, malignant, and premalignant diseases of the pancreatic tail and body is distal pancreatectomy. This technique has been modified over the years to fit certain indications, with the goal of enhancing post-operative results as well as reducing patient trauma. In cases of a premalignant and symptomatic benign condition, the spleen must be preserved either using Kimura's splenic vessel preservation technique or Warshaw's splenic vessel resection technique. A better long-term prognosis is ensured by regional lymph node dissection and radical R0 resection. Radical antegrade modular pancreatosplenectomy was proposed to tackle the shortcomings of traditional surgery for pancreatic tail and body cancer. In this review, study techniques and results of laparoscopic distal pancreatectomy for malignant and benign pancreatic ailments were described with the intention of providing knowledge on various suitable techniques reported for pancreatic cancer treatment. Furthermore, this study will serve as a ready reckoner for surgeons and could serve to boost their confidence levels during surgery by avoiding confusion on the selection of suitable for the pancreatic diseases diagnosed.

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“…Furthermore, we compared dynamic changes in peripheral blood cell populations between the SVP and WT groups for patients receiving SPDP, and the results did not show significant differences according to short-term and long-term perspectives postoperatively, indicating that different techniques of SPDP may not differ from each other in terms of hematological changes. This may partially explain the comparable clinical outcomes between patients undergoing SVP and those undergoing WT [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

et al. 2020

View full text Add to dashboard Cite

Background The clinical outcomes of patients who received distal pancreatectomy with splenectomy (DPS) and spleen-preserving distal pancreatectomy (SPDP) have been generally investigated. However, postoperative hematological changes after distal pancreatectomy with or without splenectomy are poorly understood. Methods Information from patients undergoing distal pancreatectomy (DP) between January 2014 and June 2019 at a single institution was reviewed. A linear mixed-effects model was used to compare dynamic hematological changes between different groups. Results A total of 302 patients who underwent DP were enrolled. In the long term, most postoperative hematological parameters remained significantly higher than preoperative levels in the DPS group, while postoperative lymphocyte, monocyte, basophil, and platelet levels returned to preoperative levels in the SPDP group. All postoperative hematological parameters except for red blood cell count and serum hemoglobulin level were significantly higher in the DPS group than in the SPDP group. There were no significant differences in hematological changes between the splenic vessel preservation (SVP) and Warshaw technique (WT) groups. Conclusions Postoperative hematological changes were significantly different between the DPS and SPDP groups. Compared to DPS, SPDP reduced abnormal hematological changes caused by splenectomy. SVP and WT were comparable in terms of postoperative hematological changes.

show abstract

Long term outcome after minimally invasive and open Warshaw and Kimura techniques for spleen-preserving distal pancreatectomy: International multicenter retrospective study

Cited by 25 publications

References 22 publications

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

Laparoscopic distal pancreatectomy for benign and malignant disease: a review of techniques and results

Dynamic hematological changes in patients undergoing distal pancreatectomy with or without splenectomy: a population-based cohort study

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