This study aims to compare the surgical outcomes of laparoscopic spleen-preserving distal pancreatectomy using the Kimura technique versus the Warshaw technique. The primary focus is on the rates of unplanned splenectomy, occurrence of severe complications, as well as intraoperative and perioperative outcomes of both techniques.
Age between 18 and 70 years, regardless of gender.
Preoperative clinical diagnosis of benign or low-grade malignant pancreatic tumors.
Meeting the recommended surgical indications as per guidelines.
Feasibility of imaging assessment for either Kimura or Warshaw technique laparoscopic spleen-preserving distal pancreatectomy.
Body Mass Index (BMI) > 28 kg/m2 (Chinese obesity standard).
History of blood disorders, acute or chronic pancreatitis, gastrointestinal bleeding, splenic rupture, or gastric varices (preoperative CT indicating curved vessel structures along the gastric wall with a diameter > 5mm).
History of abdominal surgery.
Concomitant primary malignant tumors.
Fudan University
Lead sponsor
Tianjin Medical University Cancer Institute and Hospital
Collaborator
Qilu Hospital of Shandong University
Collaborator
The Third Affiliated Hospital of Soochow University
Collaborator
Tongji Hospital
Collaborator