{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:20:14Z","timestamp":1767140414098,"version":"build-2238731810"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T00:00:00Z","timestamp":1401235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,5,28]],"date-time":"2014-05-28T00:00:00Z","timestamp":1401235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retroperitoneoscopic pancreatectomy (RP) is a novel surgical procedure that is safe and feasible in animal models and clinical practice. However, the optimal approach for RP has not been established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to introduce the posterior and lateral approaches for RP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study included 19 patients with suspected pancreatic lesions who underwent RP. RP was performed using either a posterior or a lateral approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The posterior, lateral, and jointed approaches were used in 13 (68.4 %), 3 (15.8 %), and 3 (15.8 %) cases, respectively. Patients underwent enucleation (\n                      <jats:italic>N<\/jats:italic>\n                      = 8), distal pancreatectomy (\n                      <jats:italic>N<\/jats:italic>\n                      = 4), and resection of cystic pancreatic lesions (\n                      <jats:italic>N<\/jats:italic>\n                      = 2) and non\u2010pancreatic lesions (\n                      <jats:italic>N<\/jats:italic>\n                      = 5). All retroperitoneoscopic procedures were successfully accomplished with no conversion to open or laparoscopic surgery. Intraoperative complications occurred in two (12.5 %) cases, including one case with injury to the peritoneum and one case with injury to the peritoneum and splenic vein. Postoperative grade A pancreatic fistulas occurred in six cases, and were cured by delayed drainage. No disease recurrence or abnormal symptoms were observed during the mean follow\u2010up period of 14.06 \u00b1 9.60\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RP using the posterior or lateral approach is feasible and effective, but has different indications. The posterior approach is useful for distal pancreatectomy, as well as resection of pancreatic lesions in the posterior or superoposterior region of the distal pancreas. The lateral approach is useful for resection of pancreatic lesions in the anterior or inferior region of the body and tail. The two approaches can be used in combination or conversion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-014-2654-4","type":"journal-article","created":{"date-parts":[[2014,5,27]],"date-time":"2014-05-27T14:35:50Z","timestamp":1401201350000},"page":"3023-3032","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Two Anatomical Pathways for Retroperitoneoscopic Pancreatectomy: Indications for the Posterior and Lateral Approaches"],"prefix":"10.1002","volume":"38","author":[{"given":"Guodong","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology\/Hainan Branch Chinese People\u2019s Liberation Army (PLA) General Hospital 28 Fu Xing Road 100853 Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minggen","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology\/Hainan Branch Chinese 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China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huinian","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of General Surgery Lanzhou University Second Hospital 730030 Lanzou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuefei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology\/Hainan Branch Chinese People\u2019s Liberation Army (PLA) General Hospital 28 Fu Xing Road 100853 Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinning","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology\/Hainan Branch Chinese People\u2019s Liberation Army (PLA) General Hospital 28 Fu Xing Road 100853 Beijing 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