{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:46:20Z","timestamp":1789728380197,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,12,4]],"date-time":"2006-12-04T00:00:00Z","timestamp":1165190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The value of spleen preservation during distal pancreatectomy (DP) still remains controversial. Spleen\u2010preserving DP with excision of the splenic artery and vein is a simplified technique for spleen preservation. The aim of this study was to compare the postoperative course of DP with or without splenectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>From 1990 to 2005, 38 consecutive patients with benign or low\u2010grade malignant disease underwent a spleen\u2010preserving DP operation with excision of the splenic artery and vein (Conservative Group). They were compared with 38 patients who underwent conventional DP with splenectomy over the same time period (Splenectomy Group) and who had been matched for age, American Society of Anesthesiologists (ASA) score, and pathological diagnosis. Postoperative courses were analyzed and compared between the Conservative Group and Splenectomy Group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Spleen preservation was effective in 36 of the 38 attempts (95%). Postoperative complications \u2013 in particular, infectious intra\u2010abdominal complications \u2013 were significantly higher in the Splenectomy Group (34 and 18%, respectively) than in the Conservative Group (13 and 3%, respectively) (<jats:italic>P<\/jats:italic> = 0.03 and <jats:italic>P<\/jats:italic> = 0.02, respectively). The length of the surgery, perioperative blood loss or transfusions, perioperative mortality and length of hospital stay did not differ between the two groups. Univariate analysis showed that splenectomy was the only risk factor for postoperative complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Spleen\u2010preserving DP with excision of the splenic artery and vein is a fast, safe and effective procedure associated, in this series, with a reduction of postoperative complications relative to conventional DP with splenectomy. This technique should be considered in patients with benign or low\u2010grade malignant disease of the pancreas.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-006-0425-6","type":"journal-article","created":{"date-parts":[[2006,12,14]],"date-time":"2006-12-14T02:54:32Z","timestamp":1166064872000},"page":"375-382","source":"Crossref","is-referenced-by-count":95,"title":["Spleen\u2010preserving Distal Pancreatectomy with Excision of Splenic Artery and Vein: A Case\u2010matched Comparison with Conventional Distal Pancreatectomy with Splenectomy"],"prefix":"10.1002","volume":"31","author":[{"given":"Nicolas","family":"Carr\u00e8re","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery (Pr Prad\u00e8re) Purpan University Hospital Toulouse France"},{"name":"Service de Chirurgie Digestive H\u00f4pital Purpan CHU de Toulouse, Place du Dr Baylac 31059 Toulouse Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Skander","family":"Abid","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery (Pr Prad\u00e8re) Purpan University Hospital Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles Henri","family":"Julio","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery (Pr Prad\u00e8re) Purpan University Hospital Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Bloom","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery (Pr Prad\u00e8re) Purpan University Hospital Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Prad\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery (Pr Prad\u00e8re) Purpan University Hospital Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,12,4]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199905000\u201000012"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.4.391"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800780626"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(19950115)75:2<577::AID\u2010CNCR2820750222>3.0.CO;2\u2010K"},{"key":"e_1_2_6_6_2","first-page":"21","article-title":"Distal pancreatectomy with and without splenectomy. 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