{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:41:27Z","timestamp":1775608887538,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Simultaneous division of the splenic artery, splenic vein and pancreatic parenchyma during laparoscopic distal pancreatosplenectomy (LDPS) is known as the lasso technique, which is considered to be simple to perform. However, the original lasso technique carries a risk of post\u2010operative bleeding from the splenic artery. We modified the original lasso technique to improve its technical safety and compared the perioperative outcomes of LDPS performed with the modified lasso technique (ml\u2010LDPS) with those of conventional LDPS (c\u2010LDPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From August 2006 to July 2016, 30 patients underwent c\u2010LDPS and 31 patients underwent ml\u2010LDPS for distal pancreatectomy involving &lt;50% of the pancreas. The perioperative outcomes of the two groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ml\u2010LDPS technique resulted in a shorter operation time (201 min versus 162 min, <jats:italic>P<\/jats:italic> &lt; 0.01), less intraoperative blood loss (20 mL versus 200 mL, <jats:italic>P<\/jats:italic> &lt; 0.01), a shorter post\u2010operative hospital stay (8.0 days versus 12.5 days, <jats:italic>P<\/jats:italic> &lt; 0.01), and a lower incidence of clinically relevant post\u2010operative pancreatic fistulas (6.5% versus 26.7%, <jats:italic>P<\/jats:italic> = 0.04) compared with c\u2010LDPS. The surgical approach (c\u2010LDPS or ml\u2010LDPS) was identified as an independent predictor of the development of clinically relevant post\u2010operative pancreatic fistulas via multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ml\u2010LDPS method had beneficial effects on the operation time, intraoperative bleeding, the post\u2010operative morbidity rate and the length of the post\u2010operative hospital stay. The ml\u2010LDPS procedure is a simple, safe and effective way of performing planned LDPS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14351","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T04:35:52Z","timestamp":1513830952000},"page":"886-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Improved perioperative outcomes of laparoscopic distal pancreatosplenectomy: modified lasso technique"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2264-3619","authenticated-orcid":false,"given":"Yota","family":"Kawasaki","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, Breast, and Thyroid Surgery, Graduate School of Medical Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Kyoung","family":"Hwang","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery Yonsei University College of Medicine  Seoul South Korea"},{"name":"Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center Severance Hospital  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Moo","family":"Kang","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery Yonsei University College of Medicine  Seoul South Korea"},{"name":"Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center Severance Hospital  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Natsugoe","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Breast, and Thyroid Surgery, Graduate School of Medical Sciences Kagoshima University  Kagoshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woo Jung","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery Yonsei University College of Medicine  Seoul South Korea"},{"name":"Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center Severance Hospital  Seoul South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318185a990"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318251ee09"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-008-3999-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-008-0007-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1586\/14737140.8.10.1597"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199603000-00008"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0806-7"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-8704-5"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.2.164"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1988.01400290032004"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(96)80099-7"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2011.0165"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1996.02487.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000258607.17194.2b"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1727-9"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-012-0218-5"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1177\/000313480907500807","article-title":"Laparoscopic and open distal pancreatectomy: a comparison of outcomes","volume":"75","author":"Finan KR","year":"2009","journal-title":"Am. Surg."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.06.010"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.120"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.11.010"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.268"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14351","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T16:43:16Z","timestamp":1694968996000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,20]]},"references-count":23,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/ans.14351"],"URL":"https:\/\/doi.org\/10.1111\/ans.14351","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,20]]},"assertion":[{"value":"2017-10-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}