{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T06:43:45Z","timestamp":1773211425979,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Achieving margin\u2010negative resection is crucial in treatment of solid pseudopapillary neoplasm (SPN) of the pancreas, while preserving the spleen during distal pancreatectomy is highly desirable in pediatric cases. Laparoscopic Warshaw procedure (Lap\u2010WT) is invaluable when tumor involvement in splenic vessels complicates preservation. However, the feasibility of Lap\u2010WT in pediatric patients remains contentious. This study presents the clinical outcomes of three pediatric SPN cases who underwent Lap\u2010WT. The median age was 10\u2009years, with a median tumor size of 50\u2009mm. Lap\u2010WT demonstrated successful outcomes with a median operation time of 311\u2009min and blood loss of 12\u2009mL. No postoperative complications occurred, with a median length of hospital stay of 8\u2009days. Long\u2010term follow\u2010up showed mild thrombocytopenia and increased spleen volume in two cases, perigastric varices in one, with no bleeding complications. No instances of tumor recurrence were observed. Lap\u2010WT emerges as a feasible approach for pediatric SPN, ensuring spleen preservation without compromising oncological outcomes.<\/jats:p>","DOI":"10.1111\/ases.13336","type":"journal-article","created":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T21:38:10Z","timestamp":1719178690000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Warshaw procedure in pediatric solid pseudopapillary neoplasm of the pancreas: Technical feasibility and oncological outcomes"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5997-4342","authenticated-orcid":false,"given":"Yasuhiro","family":"Murata","sequence":"first","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoya","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aoi","family":"Hayasaki","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Iizawa","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiro","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Tanemura","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohisa","family":"Kuriyama","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Kishiwada","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shugo","family":"Mizuno","sequence":"additional","affiliation":[{"name":"Department of the Hepatobiliary Pancreatic and Transplant Surgery Mie University Graduate School of Medicine  Tsu Mie Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.02.011"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.09.005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.04.070"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/mpa.0000000000001114"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010015\u20104720\u2010x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/00031348211060443"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1988.01400290032004"},{"issue":"5","key":"e_1_2_7_9_1","first-page":"445","article-title":"Spleen\u2010preserving distal pancreatectomy with resection of the splenic vessels. Should one rely on the short gastric arteries?","volume":"12","author":"Egorov VI","year":"2011","journal-title":"JOP"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0201"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/pas.0000000000002177"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.13336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.13336","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.13336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:59:30Z","timestamp":1773133170000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.13336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,23]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/ases.13336"],"URL":"https:\/\/doi.org\/10.1111\/ases.13336","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,23]]},"assertion":[{"value":"2024-01-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13336"}}