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When comparing central pancreatectomy (CP) and distal pancreatectomy (DP), most studies have concluded that the CP group exhibited significantly lower incidence of new\u2010onset diabetes or diabetes exacerbation than the DP group postoperatively. However, because of increased incidence of morbidities such as pancreatic fistula, the surgeon faces a considerable trade\u2010off between increased short\u2010term morbidity and long\u2010term preservation of endocrine function. When the outcomes of two types of spleen\u2010preserving DP (Kimura and Warshaw procedures) are compared, most studies mentioned the low incidence of postoperative gastric varices and splenic infarction with the Kimura procedure. Although there are several reports regarding the effect of spleen preservation on prevention of postoperative infections, no report on the contribution of spleen preservation to the prevention of overwhelming post\u2010splenectomy infection is seen. The advantages of duodenum\u2010preserving pancreatic head resection (DPPHR) concerning endocrine and exocrine functions continue to be subjects of discussion, mainly due to the limited number of institutions that have adopted this approach; however, DPPHR should be presented as an option for patients due to its low incidence of postoperative cholangitis. Organ\u2010preserving pancreatectomy requires meticulous surgical techniques, and postoperative complications may increase with this surgery compared with standard pancreatectomy, which may be influenced by the surgeon's skill and the surgical facility where the procedure is performed. Nonetheless, this technique has significant long\u2010term advantages in terms of endocrine and exocrine functions and its wider adoption in the future is expected.<\/jats:p>","DOI":"10.1002\/ags3.12746","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T23:36:36Z","timestamp":1697067396000},"page":"8-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Recent trends in organ\u2010preserving pancreatectomy: Its\u00a0problems and clinical advantages compared with other standard pancreatectomies"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5798-2725","authenticated-orcid":false,"given":"Hiroyuki","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Fujita Health University School of Medicine, Bantane Hospital  Nagoya 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