ArticleSurgery today2026
Risk factors and clinical impact of splenic infarction and gastric varices after the warshaw procedure: a comparative study with the kimura technique.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe Warshaw procedure, a spleen-preserving distal pancreatectomy with splenic vessel ligation, is associated with splenic infarction and gastric varices. We evaluated the risk factors and clinical impacts of these conditions.
methodsWe retrospectively analyzed 65 patients who underwent minimally invasive spleen-preserving distal pancreatectomy between 2014 and 2024. The outcomes were compared between the Warshaw (n = 40) and Kimura (n = 25) groups. The risk factors for splenic infarction and gastric varices were evaluated. Grade 2 splenic infarction was subdivided into 2a (50-89%) and 2b (90-99%).
resultsGrade 2 splenic infarction occurred only in the Warshaw group (19/40, 47.5%), including seven Grade 2b cases. No complications related to splenic infarction or variceal bleeding occurred. Larger tumor size and shorter pancreatic tail-to-splenic hilum distance were associated with gastric varices; the latter was also associated with Grade 2 splenic infarction.
conclusionsExtensive splenic infarction after the Warshaw procedure was not associated with clinically relevant adverse outcomes. Gastric varices were associated with larger tumor size rather than surgical procedures. The pancreatic tail-to-splenic hilum distance was consistently associated with splenic infarction and gastric varices. These findings suggest that splenic infarction and gastric varices alone may not justify avoiding the Warshaw procedure when splenic vessel preservation is difficult.
Indexed as
Identifiers
42704440What OpenQuestion holds
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.