{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:04:25Z","timestamp":1791875065729,"version":"4.3.4"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,10,24]],"date-time":"2011-10-24T00:00:00Z","timestamp":1319414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"FIMP"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2012,3,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Laparoscopic spleen\u2010preserving distal pancreatectomy can be performed with or without splenic vessels conservation. The formation of perigastric varices is the main long\u2010term complication and represents the area of major concern among surgeons. Aim of this paper was to evaluate the outcomes of patients who underwent spleen\u2010preserving distal pancreatectomy (with or without splenic vessels conservation) at our institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective search of an electronic database from 1999 through 2007. Standard statistical methods were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>43 individuals were analyzed. Postoperative morbidity was 56%. Patients managed by splenic vessels conservation were 36; in the remaining seven splenic vessels resection was performed. Pathologic details and the rate postoperative complications were not different between the two groups. Two splenectomies were necessary for postoperative splenic infarction (one in each group). 28 patients accepted the follow\u2010up protocol. At 12 months, the rate of perigastric varices was 60.0% after splenic vessels resection and 21.7% after splenic vessels conservation (<jats:italic>P<\/jats:italic>\u2009=\u20090.123). No gastrointestinal bleeding occurred at a median follow\u2010up of 69 months (37\u2013139).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic spleen\u2010preserving distal pancreatectomy is feasible. A moderate risk of postoperative splenic infarction has to be taken into account, and the formation of perigastric varices may be interpreted as a paraphysiologic phenomenon, especially after splenic vessels resection. J. Surg. Oncol. 2012;105:387\u2013392. \u00a9 2011 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.22117","type":"journal-article","created":{"date-parts":[[2011,10,24]],"date-time":"2011-10-24T13:49:01Z","timestamp":1319464141000},"page":"387-392","source":"Crossref","is-referenced-by-count":60,"title":["Perioperative and long\u2010term results of laparoscopic spleen\u2010preserving distal pancreatectomy with or without splenic vessels conservation: A retrospective analysis"],"prefix":"10.1002","volume":"105","author":[{"given":"Giovanni","family":"Butturini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Inama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Malleo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Manfredi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luigi","family":"Melotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micaela","family":"Piccoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Perandini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Pederzoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Bassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,10,24]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181ae34be"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.1999.01686.x"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1084\/jem.20022020"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000258607.17194.2b"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1988.01400290032004"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-009-0226-z"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.04.020"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19960529)66:5<611::AID-IJC5>3.0.CO;2-W"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19950115)75:2<577::AID-CNCR2820750222>3.0.CO;2-K"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780904"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(98)00299-3"},{"key":"e_1_2_5_13_2","first-page":"489","article-title":"Carcinoma of the body and tail of the pancreas: Is curative resection justified?","volume":"11","author":"Dalton RR","year":"1992","journal-title":"Surgery"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.2.164"},{"key":"e_1_2_5_15_2","first-page":"21","article-title":"Distal pancreatectomy with and without splenectomy: A comparative study","volume":"55","author":"Richardson DQ","year":"1989","journal-title":"Am Surg"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780827"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-5-61"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.10.956"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000251438.43135.fb"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-008-0512-0"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318212c1e2"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.09.020"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0425-6"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.12.014"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/1092642041255478"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8164-3"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.02.002"},{"key":"e_1_2_5_28_2","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1177\/000313480507100910","article-title":"Laparoscopic distal pancreatic resection","volume":"71","author":"Root J","year":"2005","journal-title":"Am Surg"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.08.009"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2003.11.014"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.136.3.6996032"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-010-0983-6"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6609"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.01.031"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.22117","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.22117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.22117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T17:28:24Z","timestamp":1700587704000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.22117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,24]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,3,15]]}},"alternative-id":["10.1002\/jso.22117"],"URL":"https:\/\/doi.org\/10.1002\/jso.22117","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,24]]}}}