SynthesisLangenbeck's archives of surgery2015
Splenic vessel preservation versus Warshaw's technique during spleen-preserving distal pancreatectomy: a meta-analysis and systematic review.
Synthesis in Langenbeck's archives of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Robotic versus laparoscopic distal pancreatectomy on perioperative outcomes: a systematic review and meta-analysis.Updates in surgery · 2023Pooled it
- Laparoscopic distal pancreatectomy: many meta-analyses, few certainties.Updates in surgery · 2016Pooled it
- Article
- Article
- Clinical efficacy and learning curve analysis of 101 robotic-assisted Warshaw procedures: a retrospective study.Surgical endoscopy · 2025Article
- Laparoscopic total pancreatectomy with total mesopancreas dissection using counterclockwise technique and tail-first approach.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Recent trends in organ-preserving pancreatectomy: Its problems and clinical advantages compared with other standard pancreatectomies.Annals of gastroenterological surgery · 2024Review
- Analysis of long-term outcomes after minimally invasive spleen-preserving distal pancreatectomy under the 'Kimura-first' strategy.Journal of minimal access surgery · 2024Article
- The role of main pancreatic duct stent in the enucleation of benign/borderline pancreatic head tumors: a cohort study.Langenbeck's archives of surgery · 2023Article
- Spleen-preserving distal pancreatectomy following grade III pancreatic injury in a delayed presentation: a technical challenge.BMJ case reports · 2021Article
- Improvement in distal pancreatectomy for tumors in the body and tail of the pancreas.World journal of surgical oncology · 2021Review
- A retrospective comparison of robotic versus laparoscopic distal resection and enucleation for potentially benign pancreatic neoplasms.Surgery today · 2020Article
- Revisiting the potential advantage of robotic surgical system in spleen-preserving distal pancreatectomy over conventional laparoscopic approach.Annals of translational medicine · 2020Article
- Warshaw Technique in Laparoscopic Spleen-Preserving Distal Pancreatectomy: Surgical Strategy and Late Outcomes of Splenic Preservation.BioMed research international · 2019Article
- LAPAROSCOPIC DISTAL PANCREATECTOMY WITH OR WITHOUT SPLEEN PRESERVATION: COMPARATIVE ANALYSIS OF SHORT AND LONG-TERM OUTCOMES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019Article
- Article
- Analysis of feasibility, safety and effectiveness of ultrasound-guided percutaneous microwave ablation of splenic neoplasm.Oncology letters · 2018Article
- A blunt dissection technique using the LigaSure vessel-sealing device improves perioperative outcomes and postoperative splenic-vessel patency after laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy.Surgical endoscopy · 2018Article
- A case of complete splenic infarction after laparoscopic spleen-preserving distal pancreatectomy.BMC surgery · 2018Article
- Robotic-assisted spleen preserving distal pancreatectomy: a technical review.Journal of visualized surgery · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSplenic preservation can be achieved through splenic vessel resection by Warshaw's technique (WT) or by preserving the splenic vessels. This meta-analysis aims to provide evidence-based comparison regarding the perioperative outcome and long-term benefits between patients with and without splenic vessel preservation (SVP) during spleen-preserving distal pancreatectomy.
methodA meta-analysis was performed to evaluate studies comparing splenic vessel preservation versus resection groups. Ten retrospective studies including 699 patients were eligible for an analysis of general, perioperative, and long-term outcomes. A further analysis composed of five subgroups was also conducted in terms of laparoscopic approach.
resultsWarshaw's technique related to significant shorter operation time (P < 0.0001). There was no difference in blood loss (P = 0.45) as well as median tumor size (p = 0.1) between the two groups. The overall rate of complications indicated no difference between SVP and WT (P = 0.1), including pancreatic fistula rates, which were not statistically different among the treatment groups (P = 0.27). However, the occurrence of gastric varices and splenic infarction was significant higher in the WT group (P < 0.01). In laparoscopic subgroups, patients treated by WT had much lower blood loss (P = 0.002).
conclusionIn spleen-preserving distal pancreatectomy, comparing with SVP, there is no evidence of significant benefit of WT. Nonetheless, surgeons should master both techniques and choose an appropriate one based on personal experience and a "case by case" situation. However, the current available evidence is weak, and further randomized controlled data are warranted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.