{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:23Z","timestamp":1786978163018,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T00:00:00Z","timestamp":1657670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2023,2]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Previous studies have reported contrasting results regarding the advantages of spleen preservation during laparoscopic distal pancreatectomy (LDP) for preventing infectious complications.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 3787 patients who underwent LDP for benign or low\u2010grade malignant pancreatic disease in 92 centers across Korea and Japan were included in this retrospective study. Postoperative infectious complications and other complications were compared between LDP with splenectomy (LDPS) and LDP with spleen preservation (LSPDP) by propensity score matching (PSM) analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After PSM, the LSPDP group had a lower rate of overall infectious complications (\n P<\/jats:italic>\n \u00a0=\u00a0.079) and a significantly lower rate of intra\u2010abdominal abscess (\n P<\/jats:italic>\n \u00a0=\u00a0.014) compared with the LDPS group. Within the LSPDP group, the vessel preservation subgroup had a significantly higher rate of infectious complications (\n P<\/jats:italic>\n \u00a0=\u00a0.002) compared with the vessel resection subgroup. Low\u2010volume centers had a higher rate of intra\u2010abdominal abscess than high\u2010volume centers in the LSPDP group (\n P<\/jats:italic>\n \u00a0=\u00a0.001) and the splenic vessel preservation subgroup (\n P<\/jats:italic>\n \u00a0=\u00a0.003).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Spleen preservation in LDP for benign or borderline malignant pancreatic diseases was advantageous in lowering the risk of infectious complications, specifically intra\u2010abdominal abscess. However, the risk of intra\u2010abdominal abscess may differ according to the level of surgeon's experience.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jhbp.1213","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T05:19:07Z","timestamp":1656479947000},"page":"252-262","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Comparison of infectious complications after spleen preservation versus splenectomy during laparoscopic distal pancreatectomy for benign or low\u2010grade malignant pancreatic tumors: A multicenter, propensity score\u2010matched analysis"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8119-6943","authenticated-orcid":false,"given":"Woohyung","family":"Lee","sequence":"first","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1749-038X","authenticated-orcid":false,"given":"Dae Wook","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery University of Ulsan College of Medicine, Asan Medical Center Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9659-1260","authenticated-orcid":false,"given":"Ho\u2010Seong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery Seoul National University Bundang Hospital Seongnam\u2010si South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-2469","authenticated-orcid":false,"given":"In Woong","family":"Han","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6767-2790","authenticated-orcid":false,"given":"Jin Seok","family":"Heo","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2145-6416","authenticated-orcid":false,"given":"Michiaki","family":"Unno","sequence":"additional","affiliation":[{"name":"Department of Surgery Tohoku University Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaharu","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Surgery Tohoku University Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Tajima","sequence":"additional","affiliation":[{"name":"Department of General\u2010Pediatric\u2010Hepatobiliary Pancreatic Surgery Kitasato University School of Medicine Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Nishizawa","sequence":"additional","affiliation":[{"name":"Department of General\u2010Pediatric\u2010Hepatobiliary Pancreatic Surgery Kitasato University School of Medicine Sagamihara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Nakata","sequence":"additional","affiliation":[{"name":"Department of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuji","family":"Seyama","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Biliary\u2010Pancreatic Surgery Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiya","family":"Isikawa","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4064-7776","authenticated-orcid":false,"given":"Ho Kyoung","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of HBP Surgery, Department of Surgery Yonsei University College of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3312-0503","authenticated-orcid":false,"given":"Jin\u2010Young","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery Seoul National University Hospital, Seoul National University College of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3864-8104","authenticated-orcid":false,"given":"Taeho","family":"Hong","sequence":"additional","affiliation":[{"name":"Division of Hepato\u2010biliary and Pancreas Surgery, Department of Surgery Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8048-9990","authenticated-orcid":false,"given":"Joon Seong","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery Gangnam Severance Hospital, Yonsei University College of Medicine Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Hepato\u2010Pancreato\u2010Biliary Surgery, Department of Surgery Chonnam National University Hospital, Chonnam National University Medical School Gwangju South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Young","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Surgery Gyeongsang National University Hospital, Gyeongsang National University, College of Medicine Jinju South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3965-3693","authenticated-orcid":false,"given":"Ippei","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Kindai University Faculty of Medicine Higashi\u2010osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6982-3457","authenticated-orcid":false,"given":"Hiroki","family":"Yamaue","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University Wakayama 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