{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:09:47Z","timestamp":1788898187386,"version":"build-2803163510"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100010822","name":"Chengdu Science and Technology Bureau","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010822","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019014","name":"Chengdu Science and Technology Program","doi-asserted-by":"publisher","award":["2019-GH02-00020-HZ"],"award-info":[{"award-number":["2019-GH02-00020-HZ"]}],"id":[{"id":"10.13039\/501100019014","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.surg.2026.110168","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T09:27:26Z","timestamp":1774949246000},"page":"110168","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Efficacy and safety of radical antegrade modular pancreatosplenectomy versus standard radical pancreatosplenectomy for pancreatic body\/tail cancer: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"194","author":[{"given":"Deqiang","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanchun","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihe","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shijie","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bole","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1928-4272","authenticated-orcid":false,"given":"Junjie","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2026.110168_bib1","first-page":"12","article-title":"Cancer statistics","volume":"74","author":"Siegel","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.surg.2026.110168_bib2","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1056\/NEJMra1404198","article-title":"Pancreatic adenocarcinoma","volume":"371","author":"Ryan","year":"2014","journal-title":"N Engl J Med"},{"key":"10.1016\/j.surg.2026.110168_bib3","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1067\/msy.2003.146","article-title":"Radical antegrade modular pancreatosplenectomy","volume":"133","author":"Strasberg","year":"2003","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110168_bib4","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1186\/s12957-024-03495-2","article-title":"Radicality and safety of total mesopancreatic excision in pancreatoduodenectomy: a systematic review and meta-analysis","volume":"22","author":"da Silva","year":"2024","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib5","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/s12916-018-1120-9","article-title":"Stratified survival of resected and overall pancreatic cancer patients in Europe and the USA in the early twenty-first century: a large, international population-based study","volume":"16","author":"Huang","year":"2018","journal-title":"BMC Med"},{"key":"10.1016\/j.surg.2026.110168_bib6","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1002\/jhbp.1120","article-title":"The efficacy of radical antegrade modular pancreatosplenectomy: a systematic review and meta-analysis","volume":"29","author":"Watanabe","year":"2022","journal-title":"J Hepato Biliary Pancreat"},{"key":"10.1016\/j.surg.2026.110168_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2025.109278","article-title":"Radical antegrade modular pancreatosplenectomy: myth or reality? A systematic review and trial sequential meta-analysis","volume":"181","author":"Ricci","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110168_bib8","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.surg.2026.110168_bib9","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1245\/s10434-008-9839-8","article-title":"Most pancreatic cancer resections are R1 resections","volume":"15","author":"Esposito","year":"2008","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib10","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/SLA.0b013e3181b13ca2","article-title":"The Clavien-Dindo classification of surgical complications: five-year experience","volume":"250","author":"Clavien","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110168_bib11","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110168_bib12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","article-title":"Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110168_bib13","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","article-title":"Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS)","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2026.110168_bib14","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S0196-6553(05)80201-9","article-title":"CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections","volume":"20","author":"Horan","year":"1992","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.surg.2026.110168_bib15","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1007\/s10654-010-9491-z","article-title":"Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses","volume":"25","author":"Stang","year":"2010","journal-title":"Eur J Epidemiol"},{"key":"10.1016\/j.surg.2026.110168_bib16","doi-asserted-by":"crossref","first-page":"4590","DOI":"10.12659\/MSM.914540","article-title":"Comparison of radical antegrade modular pancreatosplenectomy with standard retrograde pancreatosplenectomy for left-sided pancreatic cancer: a meta-analysis and experience of a single center","volume":"25","author":"Huo","year":"2019","journal-title":"Med Sci Monit"},{"key":"10.1016\/j.surg.2026.110168_bib17","doi-asserted-by":"crossref","first-page":"8317","DOI":"10.1245\/s10434-024-15939-w","volume":"31","author":"Li","year":"2024","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib18","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.981591","article-title":"Clinical outcome comparison of laparoscopic radical antegrade modular pancreatosplenectomy vs. laparoscopic distal pancreatosplenectomy for left-sided pancreatic ductal adenocarcinoma surgical resection","volume":"9","author":"Niu","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.surg.2026.110168_bib19","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.3390\/cancers16081546","article-title":"Comparison of survival outcomes between radical antegrade modular pancreatosplenectomy and conventional distal pancreatosplenectomy for pancreatic body and tail cancer: korean multicenter propensity score match analysis","volume":"16","author":"Kwon","year":"2024","journal-title":"Cancers"},{"key":"10.1016\/j.surg.2026.110168_bib20","doi-asserted-by":"crossref","first-page":"54","DOI":"10.21037\/cco-20-6","article-title":"Radical antegrade modular pancreatosplenectomy versus standard distal pancreatosplenectomy for pancreatic cancer, a dual-institutional analysis","volume":"9","author":"Sham","year":"2020","journal-title":"Chin Clin Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib21","doi-asserted-by":"crossref","first-page":"2267","DOI":"10.1007\/s00268-016-3526-x","article-title":"Comparison of surgical outcomes between radical antegrade modular pancreatosplenectomy (RAMPS) and standard retrograde pancreatosplenectomy (SPRS) for left-sided pancreatic cancer","volume":"40","author":"Abe","year":"2016","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2026.110168_bib22","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/s00423-024-03265-4","article-title":"Laparoscopic radical antegrade modular pancreatosplenectomy (RAMPS) for adenocarcinoma of the body and tail of the pancreas \u2014 technical considerations with analysis of surgical outcomes","volume":"409","author":"Borys","year":"2024","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.surg.2026.110168_bib23","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1007\/s00595-020-02203-3","article-title":"Radical antegrade modular pancreatosplenectomy (RAMPS) versus conventional distal pancreatosplenectomy (CDPS) for left-sided pancreatic ductal adenocarcinoma","volume":"51","author":"Dai","year":"2021","journal-title":"Surg Today"},{"key":"10.1016\/j.surg.2026.110168_bib24","doi-asserted-by":"crossref","first-page":"29","DOI":"10.4174\/astr.2016.91.1.29","article-title":"Initial experience with radical antegrade modular pancreatosplenectomy in a single institution","volume":"91","author":"Kim","year":"2016","journal-title":"Ann Surg Treat Res"},{"key":"10.1016\/j.surg.2026.110168_bib25","doi-asserted-by":"crossref","first-page":"1775","DOI":"10.1007\/s00595-021-02280-y","article-title":"Radical antegrade modular pancreatosplenectomy (RAMPS) versus conventional distal pancreatectomy for left-sided pancreatic cancer: findings of a multicenter, retrospective, propensity score matching study","volume":"51","author":"Kim","year":"2021","journal-title":"Surg Today"},{"key":"10.1016\/j.surg.2026.110168_bib26","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1177\/000313481307901117","article-title":"Standard retrograde pancreatosplenectomy versus radical antegrade modular pancreatosplenectomy for body and tail pancreatic adenocarcinoma","volume":"79","author":"Latorre","year":"2013","journal-title":"Am Surg"},{"key":"10.1016\/j.surg.2026.110168_bib27","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00268-013-2254-8","article-title":"Role of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and tail of the pancreas","volume":"38","author":"Park","year":"2014","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2026.110168_bib28","doi-asserted-by":"crossref","first-page":"1768","DOI":"10.1007\/s00268-022-06545-6","article-title":"Complications in distal pancreatectomy versus radical antegrade modular pancreatosplenectomy: a disease risk score analysis utilizing national surgical quality improvement project data","volume":"46","author":"Sutton","year":"2022","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2026.110168_bib29","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.hpb.2022.08.004","article-title":"Radical antegrade modular pancreatosplenectomy enhances local control of the disease in patients with left-sided pancreatic cancer","volume":"25","author":"Takahashi","year":"2023","journal-title":"HPB"},{"key":"10.1016\/j.surg.2026.110168_bib30","doi-asserted-by":"crossref","first-page":"1870","DOI":"10.1002\/wjs.12630","article-title":"Comparison of radical antegrade modular pancreatosplenectomy versus standard distal pancreatectomy for pancreatic ductal adenocarcinoma: a propensity score matching study","volume":"49","author":"Yin","year":"2025","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2026.110168_bib31","doi-asserted-by":"crossref","first-page":"3578","DOI":"10.1007\/s00464-024-10868-x","article-title":"Evaluating the efficacy of laparoscopic radical antegrade modular pancreatosplenectomy in selected early-stage left-sided pancreatic cancer: a propensity score matching study","volume":"38","author":"Li","year":"2024","journal-title":"Surg Endosc"},{"key":"10.1016\/j.surg.2026.110168_bib32","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1177\/000313481408000326","article-title":"Comparison of standard distal pancreatectomy and splenectomy with radical antegrade modular pancreatosplenectomy","volume":"80","author":"Trottman","year":"2014","journal-title":"Am Surg"},{"key":"10.1016\/j.surg.2026.110168_bib33","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s12893-017-0259-1","article-title":"Radical antegrade modular pancreatosplenectomy versus standard procedure in the treatment of left-sided pancreatic cancer: a systemic review and meta-analysis","volume":"17","author":"Cao","year":"2017","journal-title":"BMC Surg"},{"key":"10.1016\/j.surg.2026.110168_bib34","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1097\/SLA.0000000000002234","article-title":"Patterns, timing, and predictors of recurrence following pancreatectomy for pancreatic ductal adenocarcinoma","volume":"267","author":"Groot","year":"2018","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2026.110168_bib35","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.1200\/JCO.19.02274","article-title":"Preoperative chemoradiotherapy versus immediate surgery for resectable and borderline resectable pancreatic cancer: results of the Dutch randomized phase III PREOPANC trial","volume":"38","author":"Versteijne","year":"2020","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib36","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1001\/jama.2013.279201","article-title":"Adjuvant chemotherapy with gemcitabine and long-term outcomes among patients with resected pancreatic cancer: the CONKO-001 randomized trial","volume":"310","author":"Oettle","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.surg.2026.110168_bib37","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1002\/jso.26906","article-title":"Total neoadjuvant therapy is associated with improved overall survival and pathologic response in pancreatic adenocarcinoma","volume":"126","author":"Villano","year":"2022","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.surg.2026.110168_bib38","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1093\/aje\/kwm165","article-title":"The impact of residual and unmeasured confounding in epidemiologic studies: a simulation study","volume":"166","author":"Fewell","year":"2007","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.surg.2026.110168_bib39","doi-asserted-by":"crossref","first-page":"144","DOI":"10.21873\/cdp.10088","article-title":"Role and efficacy of robotic-assisted radical antegrade modular pancreatosplenectomy (RAMPS) in left-sided pancreatic cancer","volume":"2","author":"Kyros","year":"2022","journal-title":"Cancer Diagn Progn"},{"key":"10.1016\/j.surg.2026.110168_bib40","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1186\/s13063-023-07456-0","article-title":"Radical antegrade modular pancreatosplenectomy (RAMPS) versus standard retrograde pancreatosplenectomy (SRPS) for resectable body and tail pancreatic adenocarcinoma: protocol of a multicenter, prospective, randomized phase III control trial (CSPAC-3)","volume":"24","author":"Li","year":"2023","journal-title":"Trials"},{"key":"10.1016\/j.surg.2026.110168_bib41","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijsu.2022.106676","article-title":"Comparison of laparoscopic versus open radical antegrade modular pancreatosplenectomy for pancreatic cancer: a systematic review and meta-analysis","volume":"103","author":"Tang","year":"2022","journal-title":"Int J Surg"},{"key":"10.1016\/j.surg.2026.110168_bib42","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1007\/s13304-023-01584-7","article-title":"Practical implications of tumor proximity to landmark vessels in minimally invasive radical antegrade modular pancreatosplenectomy","volume":"75","author":"Kauffmann","year":"2023","journal-title":"Updates Surg"},{"key":"10.1016\/j.surg.2026.110168_bib43","article-title":"Advances in pancreatic cancer early diagnosis, prevention, and treatment: the past, the present, and the future","volume":"76","author":"Mannucci","year":"2026","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.surg.2026.110168_bib44","doi-asserted-by":"crossref","first-page":"2347","DOI":"10.3390\/cancers16132347","article-title":"Resection margin status and long-term outcomes after pancreaticoduodenectomy for ductal adenocarcinoma: a tertiary referral center analysis","volume":"16","author":"Quero","year":"2024","journal-title":"Cancers (Basel)"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026000905?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606026000905?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:02:04Z","timestamp":1788897724000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606026000905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":44,"alternative-id":["S0039606026000905"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2026.110168","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Efficacy and safety of radical antegrade modular pancreatosplenectomy versus standard radical pancreatosplenectomy for pancreatic body\/tail cancer: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2026.110168","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"110168"}}