ArticleGland surgery2021
"Kimura-first" strategy for robotic spleen-preserving distal pancreatectomy: experiences from 61 consecutive cases in a single institution.
Article in Gland surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Risk factors and predictive model development for high blood loss in minimally invasive distal pancreatectomy: a retrospective cohort study.Langenbeck's archives of surgery · 2024Article
- An evidence-based model for predicting conversion to open surgery in minimally invasive distal pancreatectomy.Surgical endoscopy · 2024Article
- Spleen-preserving distal pancreatectomy for intraductal papillary mucinous neoplasm.Gland surgery · 2024Article
- Analysis of long-term outcomes after minimally invasive spleen-preserving distal pancreatectomy under the 'Kimura-first' strategy.Journal of minimal access surgery · 2024Article
- Learning curve of robotic-assisted splenic vessel-preserving spleen-preserving distal pancreatectomy by one single surgeon: a retrospective cohort study.BMC surgery · 2023Article
- Spleen-preserving distal pancreatectomy from multi-port to reduced-port surgery approach.World journal of gastrointestinal surgery · 2023Article
- Inferior-Medial Approach to Laparoscopic Splenic Vessel-Preserving Distal Pancreatectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRobotic spleen-preserving distal pancreatectomy (RSPDP) is an ideal procedure for benign and low-grade malignant tumors in the distal pancreas, and two splenic preservation techniques (the Kimura and Warshaw techniques) can be used for RSPDP. This study aimed to evaluate the feasibility and safety of the "Kimura-first" strategy for RSPDP and to investigate the risk factors affecting the preservation of the spleen and splenic vessels.
methodsThe electronic medical records of patients who underwent robotic distal pancreatectomy (RDP) between October 2016 and December 2019 at our institution were retrospectively reviewed. Univariate and multivariate analyses were conducted to identify the risk factors influencing preservation of the spleen and splenic vessels during RDP.
resultsSixty-one patients scheduled for RSPDP who received RDP were included in this study [Kimura technique, 41 patients; Warshaw technique, 11 patients; and robotic distal pancreatectomy with splenectomy (RDPS), 9 patients]. The overall splenic preservation rate with RDP was 85.2% (52/61). The preservation rate of splenic vessels with the Kimura technique with RSPDP was 78.8% (41/52). The RSPDP group had remarkably less estimated blood loss (EBL; median 50
conclusionsThe "Kimura-first" strategy is feasible and safe for RSPDP, with high rates of splenic and splenic vessel preservation. Obvious splenic vessel compression by the tumor can be used as a predictor of splenic vessel preservation with planned RDP.
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