Evidence map›Paper›PMID 40924248›Full record

ArticleAnnals of surgical oncology2025

Optimizing Robotic Spleen-Preserving Distal Pancreatectomy: Strategies and Innovations to Enhance Safety and Efficacy.

Alberto García-Picazo, Patricia Sánchez-Velázquez, Fernando Burdío, Gemma Vellalta, Benedetto Ielpo

Abstract readVideo-Audio Media
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In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alberto García-PicazoHepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain. alberto.gpicazo@gmail.com.ORCID http://orcid.org/0000-0002-3950-1959
Patricia Sánchez-VelázquezHepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Fernando BurdíoHepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Gemma VellaltaHepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Benedetto IelpoHepato‑Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpleen-preserving distal pancreatectomy by robotic surgery is a safe and feasible surgical technique. Currently, spleen-preserving distal pancreatectomy represents an alternative to the classical distal pancreatectomy with splenectomy, in the case of benign and low-grade malignant diseases of the body or pancreas tail. The reasons for preserving the spleen are based on the reduction of postoperative complications, such as post-splenectomy infections, subphrenic abscess, portal thrombosis, pulmonary hypertension, thrombocytosis, and thromboembolism. This procedure can be performed by completely preserving the splenic vessels (Kimura technique), not preserving the splenic vessels (Warshaw technique), or just resecting the splenic vein (Kim technique).

resultsThe robotic approach is a feasible option for this surgery, in terms of reducing postoperative pain and facilitating patient recovery without increasing the risk of pancreatic fistula, hospital readmission, morbidity, and mortality. Compared with laparoscopy, robotic surgery demonstrates a lower conversion rate and reduced splenectomy rate. This surgical technique can be technically demanding, even robotically, therefore several maneuvers are described to reduce operative difficulty and improve surgical outcomes.

conclusionsThe objective of this video is to provide a step-by-step guide to robotic spleen-preserving distal pancreatectomy surgery, highlighting tips and innovations for improved safety and effectiveness.

Indexed as

Organ Sparing TreatmentsPancreatectomyPancreatic NeoplasmsPostoperative ComplicationsRobotic Surgical ProceduresSpleenHumansPrognosisSplenectomyDistal pancreatectomyMinimally invasive surgeryPancreasRobotic surgerySpleen-preserving

Identifiers

PMID40924248

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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.