{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T15:26:21Z","timestamp":1794410781610,"version":"4.9.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"vor","delay-in-days":164,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Central pancreatectomy (CP) preserves pancreatic parenchyma but remains technically demanding in minimally invasive surgery because two pancreatic transection surfaces increase the risk of postoperative pancreatic fistula and hemorrhage. This study aimed to evaluate the feasibility of totally laparoscopic central pancreatectomy (LCP) using a standardized risk\u2010oriented surgical design, including a knotless continuous duct\u2010to\u2010mucosa pancreaticogastrostomy technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective two\u2010institution study evaluated the feasibility of totally laparoscopic central pancreatectomy (LCP). A standardized risk\u2010oriented surgical design was adopted, consisting of stapler\u2010based pancreatic transection and duct\u2010to\u2010mucosa pancreaticogastrostomy for distal reconstruction. Open CP performed using the same reconstructive concept served as a reference cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six patients underwent CP, including three treated with totally laparoscopic CP. All laparoscopic procedures were completed without conversion. One patient developed clinically relevant postoperative pancreatic fistula (ISGPS grade B). No postpancreatectomy hemorrhage, reintervention, or mortality occurred. The median operative time and estimated blood loss in the laparoscopic group were 287\u2009min and 10\u2009mL, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Totally laparoscopic central pancreatectomy appeared technically feasible in selected patients when performed within a standardized, risk\u2010oriented surgical framework.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70325","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:16:26Z","timestamp":1781493386000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Central Pancreatectomy with Duct\u2010to\u2010Mucosa Pancreaticogastrostomy Using a Knotless Continuous Suturing Technique: Initial Experience with a Totally Laparoscopic Approach"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-728X","authenticated-orcid":false,"given":"Mampei","family":"Kawashima","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Hospital  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Hamaguchi","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Hospital  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Ono","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Hospital  Bunkyo\u2010ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Irie","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Ga","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4361-1325","authenticated-orcid":false,"given":"Yuto","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukio","family":"Oshiro","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiharu","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery Nippon Medical School Chiba Hokusoh Hospital  Inzai Chiba 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