{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:29:17Z","timestamp":1787315357260,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,1,29]],"date-time":"2017-01-29T00:00:00Z","timestamp":1485648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The value of spleen preservation with distal pancreatectomy (DP) for benign and low grade malignant tumors remains unclear. The aim of this study was to evaluate the short\u2010term postoperative clinical outcomes in patients undergoing DP with splenectomy (DPS) or spleen preservation (SPDP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Online database search was performed (2000 to present); key bibliographies were reviewed. Studies comparing patients undergoing DP with either DPS or SPDP, and assessing postoperative complications were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Meta\u2010analysis of included data showed SPDP patients had significantly less operative blood loss, shorter duration of hospitalization, lower incidence of fluid collection and abscess, lower incidence of postoperative splenic and portal vein thrombosis, and lower incidence of new onset postoperative diabetes. For the whole group, there was no difference in incidence of postoperative pancreatic fistula (POPF) (RR\u2009=\u20090.95; 95%CI 0.65\u20131.40,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.80), however, subgroup analysis of studies using ISGPF criteria showed that DPS patients had increased rates of Grade B\/C POPF (RR\u2009=\u20091.35; 95%CI 1.08\u20131.70,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      SPDP for benign and low grade malignant tumors is associated with shorter hospital stay and decreased morbidity compared to DPS.\n                      <jats:italic>J. Surg. Oncol. 2017;115:137\u2013143<\/jats:italic>\n                      . \u00a9 2017 Wiley Periodicals, Inc.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.24507","type":"journal-article","created":{"date-parts":[[2017,1,29]],"date-time":"2017-01-29T22:52:25Z","timestamp":1485730345000},"page":"137-143","source":"Crossref","is-referenced-by-count":37,"title":["Distal pancreatectomy for benign and low grade malignant tumors: Short\u2010term postoperative outcomes of spleen preservation\u2014A systematic review and update meta\u2010analysis"],"prefix":"10.1002","volume":"115","author":[{"given":"Fiorella","family":"Pendola","sequence":"first","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"},{"name":"Sylvester Comprehensive Cancer Center University of Miami \u2212 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Gadde","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ripat","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishika","family":"Sharma","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Picado","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"Lobo","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Sleeman","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan S.","family":"Livingstone","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"},{"name":"Sylvester Comprehensive Cancer Center University of Miami \u2212 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipun","family":"Merchant","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"},{"name":"Sylvester Comprehensive Cancer Center University of Miami \u2212 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Yakoub","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery University of Miami \u2013 Miller School of Medicine Miami Florida"},{"name":"Sylvester Comprehensive Cancer Center University of Miami \u2212 Miller School of Medicine Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-010-0027-6"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-4043-3"},{"key":"e_1_2_6_4_1","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_6_5_1","first-page":"162","article-title":"Is there any benefit of preservation of the spleen in distal pancreatectomy","volume":"86","author":"Yamaguchi K","year":"2001","journal-title":"Int Surg"},{"key":"e_1_2_6_6_1","first-page":"21","article-title":"Distal pancreatectomy with and without splenectomy. 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