{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T08:48:02Z","timestamp":1770972482939,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T00:00:00Z","timestamp":1601251200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2018M632681"],"award-info":[{"award-number":["2018M632681"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2017MH032"],"award-info":[{"award-number":["ZR2017MH032"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A reasonable surgical plan is crucial to laparoscopic spleen\u2010preserving distal pancreatectomy. This study proposed a preoperative image classification and scoring system, then evaluated the predictive value in creating a spleen\u2010preserving strategy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data for patients who underwent laparoscopic spleen\u2010preserving distal pancreatectomy at our hospital were collected from a prospective database. Clinical parameters and preoperative images were reviewed and analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 58 cases, and patients underwent the Kimura procedure (<jats:italic>n<\/jats:italic> = 29) or the Warshaw procedure (<jats:italic>n<\/jats:italic> = 29). According to the relationship between the tumour and the splenic vein in preoperative images, we proposed an image classification constituting four types. In the univariate analysis, age, tumour size, length of the distal pancreas to the left of the tumour and the image classification were significantly associated with spleen\u2010preservation methods. Multivariate analysis indicated that tumour size and image classifications were independent factors. We established a scoring system by combining these two factors and scored and classified patients into four groups as 0, 61, 100 and 161 points. The probabilities of spleen\u2010preservation procedures corresponding to different points were then calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This preoperative image classification and scoring system might be helpful when creating a spleen\u2010preserving strategy during laparoscopic distal pancreatectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16310","type":"journal-article","created":{"date-parts":[[2020,9,28]],"date-time":"2020-09-28T15:11:20Z","timestamp":1601305880000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Application of a preoperative image scoring system in laparoscopic spleen\u2010preserving distal pancreatectomy"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8487-6728","authenticated-orcid":false,"given":"Jianwei","family":"Xu","sequence":"first","affiliation":[{"name":"School of Medicine Cheeloo College of Medicine, Shandong University  Jinan China"},{"name":"Department of Pancreatic Surgery, General Surgery Qilu Hospital, Shandong University  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanxiang","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, General Surgery Qilu Hospital, Shandong University  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, General Surgery Qilu Hospital, Shandong University  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Radiology Qilu Hospital, Shandong University  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanyuan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Shandong First Medical University  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, General Surgery Qilu Hospital, Shandong University  Jinan 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