{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:30:02Z","timestamp":1761514202826,"version":"3.41.2"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"crossref","award":["V106C-028"],"award-info":[{"award-number":["V106C-028"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Outcomes after robotic distal pancreatectomy with spleen preservation (RDP\u2010SP) by the Warshaw technique and with splenectomy (RDP\u2010S) were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All the data for patients undergoing robotic distal pancreatectomy (RDP) were prospectively collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 66 patients were included, with 33 in each group. The console time was significantly shorter in the RDP\u2010SP group than in the RDP\u2010S group (165\u00a0minutes vs. 220\u00a0minutes). The median blood loss was 50\u00a0cm<jats:sup>3<\/jats:sup> in the RDP\u2010SP group and 100\u00a0cm<jats:sup>3<\/jats:sup> in the RDP\u2010S group. The surgical morbidity was significantly lower in RDP\u2010SP group (18% vs. 58%). Spleen infarction (15%), gastric varices (6%) and perigastric varices (45%) after RDP\u2010SP were not associated with any subsequent complication. Postoperative platelet count and white blood cell (WBC) count were significantly higher in the RDP\u2010S group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both RDP\u2010SP and RDP\u2010S are feasible in selected patients. RDP\u2010SP is feasible and time\u2010saving. Although gastric\/perigastric varices and spleen infarction are not uncommon after RDP\u2010SP, they appear to be clinically irrelevant.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.1922","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T09:11:10Z","timestamp":1525943470000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Robotic distal pancreatectomy: Comparison of spleen\u2010preservation by the Warshaw technique and splenectomy"],"prefix":"10.1002","volume":"14","author":[{"given":"Shin\u2010E","family":"Wang","sequence":"first","affiliation":[{"name":"Departments of Surgery, Taipei Veterans General Hospital National Yang Ming University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bor\u2010Uei","family":"Shyr","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Taipei Veterans General Hospital National Yang Ming University 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