{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T12:37:16Z","timestamp":1771504636058,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T00:00:00Z","timestamp":1412812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Laparoscopic distal pancreatectomy (<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">DP<\/jats:styled-content>) has been recognized worldwide as a feasible and highly beneficial procedure. The aim of this study is to investigate whether <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">DP<\/jats:styled-content> techniques are being implemented safely by surgeons training to perform this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively compared the perioperative outcomes of <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">DP<\/jats:styled-content> in patients operated on by the surgeon originating this procedure at our hospital (expert surgeon group [<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> group], <jats:italic>n<\/jats:italic>\u2009=\u200947) and patients operated on by surgeons training to perform this procedure (training surgeons group [<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> group], <jats:italic>n<\/jats:italic>\u2009=\u200953).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median operating times for the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> group and <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> group were 321\u2009min (range, 150\u2013653\u2009min) and 314\u2009min (range, 173\u2013629\u2009min), respectively; these times were not significantly different (<jats:italic>P<\/jats:italic>\u2009=\u20090.4769). The median blood loss in the <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> group (100\u2009mL; range, 0\u20131950\u2009mL) was significantly smaller than in the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> group (280\u2009mL; range, 0\u20131920\u2009mL) (<jats:italic>P<\/jats:italic>\u2009=\u20090.0003). There were no significant intergroup differences in other operative results: combined operation ratio, spleen\u2010 and splenic vessels\u2010preserving ratio, hand\u2010assisted procedure ratio, and the ratio of transition to open. The frequency of pancreatic fistulas in the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> group and <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> group was 12.8% and 16.9%, respectively; these rates were not significantly different (<jats:italic>P<\/jats:italic>\u2009=\u20090.5886). There were no significant differences between the two groups in terms of other complications and reoperation rates. The median hospital stay for the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> group was significantly shorter than for the <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content> group (10 vs 13 days; <jats:italic>P<\/jats:italic>\u2009=\u20090.0307).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This retrospective analysis shows that teaching safe <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ap\u2010<jats:styled-content style=\"fixed-case\">DP<\/jats:styled-content> techniques to surgeons is reflected in stable perioperative outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12131","type":"journal-article","created":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T08:03:36Z","timestamp":1412841816000},"page":"295-300","source":"Crossref","is-referenced-by-count":13,"title":["Laparoscopic distal pancreatectomy: Educating surgeons about advanced laparoscopic surgery"],"prefix":"10.1111","volume":"7","author":[{"given":"Yoshiharu","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Katsuno","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Sumiyoshi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Yoshioka","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Mizuguchi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318185a990"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9973-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.06.045"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-008-0007-0"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2010.06.010"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.120"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.22117"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318251ee09"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2012.04.001"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1477-2574.2012.00531.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i16.1959"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e31824f3669"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-012-0578-7"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2013.04.196"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0408-6"},{"key":"e_1_2_6_17_1","unstructured":"National Comprehensive Cancer Network (NCCN).Clinical practice guidelines pancreatic adenocarcinoma. 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