{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T09:01:35Z","timestamp":1767085295341,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Organ-preserving surgery has recently gained increasing attention. However, performing the surgery for duplicated gastric and distal pancreatic tumors is difficult because of procedural complexity and concerns of remnant gastric necrosis. We present the first case of simultaneous robotic distal gastrectomy plus spleen-preserving distal pancreatectomy in a patient with overlapping gastric cancer and intraductal papillary mucinous neoplasm.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 78-year-old man was diagnosed with gastric cancer in the middle stomach and intraductal papillary mucinous neoplasm of the pancreatic body. Radical cure surgery was performed using the da Vinci Xi robotic system. Conventional distal gastrectomy was initially completed using near-infrared ray guidance when transecting the stomach. After dividing the pancreas, the parenchyma of the distal pancreas was detached from the splenic artery and vein; multiple branches from these splenic vessels were dissected. Indocyanine green imaging confirmed sufficient blood flow in the splenic vessels and perfusion of the remnant stomach. Ultimately, gastrointestinal reconstruction was performed, and the postoperative course was uneventful.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The robotic distal gastrectomy plus spleen-preserving distal pancreatectomy procedure was safely performed. Compared to the total gastrectomy plus distal pancreatectomy with splenectomy procedure, this technique may improve the quality of dietary life, reduce weight loss, and prevent complications associated with splenectomy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01831-y","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T02:25:38Z","timestamp":1707445538000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robotic distal gastrectomy plus spleen-preserving distal pancreatectomy: optimal resection for simultaneous gastric cancer and intraductal papillary mucinous neoplasm of the pancreatic body"],"prefix":"10.1186","volume":"10","author":[{"given":"Sunao","family":"Ito","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1876-4311","authenticated-orcid":false,"given":"Hiroyuki","family":"Sagawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kohei","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinnosuke","family":"Harata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunsuke","family":"Hayakawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamoru","family":"Morimoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Ogawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Matsuo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuji","family":"Takiguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"1831_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10120-022-01331-8","volume":"26","author":"Japanese Gastric Cancer Association","year":"2023","unstructured":"Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2021 (6th edition). Gastric Cancer. 2023;26:1\u201325.","journal-title":"Gastric Cancer."},{"key":"1831_CR2","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1016\/j.pan.2017.07.007","volume":"17","author":"M Tanaka","year":"2017","unstructured":"Tanaka M, Fern\u00e1ndez-Del Castillo C, Kamisawa T, Jang JY, Levy P, Ohtsuka T, et al. Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology. 2017;17:738\u201353.","journal-title":"Pancreatology"},{"key":"1831_CR3","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1186\/s12893-022-01633-9","volume":"22","author":"H Sagawa","year":"2022","unstructured":"Sagawa H, Saito M, Ito S, Hayakawa S, Ueno S, Okubo T, et al. Near infrared ray-guided surgery using Firefly technology of the daVinci Xi system and intraoperative upper gastrointestinal endoscopy for subtotal gastrectomy and surgery for cancer of the gastroesophageal junction. BMC Surg. 2022;22:174.","journal-title":"BMC Surg"},{"key":"1831_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.106803","volume":"92","author":"S Kawaguchi","year":"2022","unstructured":"Kawaguchi S, Okubo S, Haruta S, Shindoh J, Hashimoto M, Ueno M. Indocyanine green fluorescence angiography-guided simultaneous laparoscopic distal gastrectomy and spleen-preserving distal pancreatectomy for conserving the gastrosplenic ligament: a case report. Int J Surg Case Rep. 2022;92: 106803.","journal-title":"Int J Surg Case Rep"},{"key":"1831_CR5","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s00595-006-3342-2","volume":"37","author":"Y Otsuka","year":"2007","unstructured":"Otsuka Y, Kunisaki C, Ono H, Sato T, Yamada R, Sugimori K, et al. Spleen-preserving distal pancreatectomy combined with distal gastrectomy for distal pancreatic lesion and gastric cancer: Report of a case. Surg Today. 2007;37:159\u201361.","journal-title":"Surg Today"},{"key":"1831_CR6","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s10120-018-00906-8","volume":"22","author":"I Uyama","year":"2019","unstructured":"Uyama I, Suda K, Nakauchi M, Kinoshita T, Noshiro H, Takiguchi S, et al. Clinical advantages of robotic gastrectomy for clinical stage I\/II gastric cancer: a multi-institutional prospective single-arm study. Gastric Cancer. 2019;22:377\u201385.","journal-title":"Gastric Cancer"},{"key":"1831_CR7","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1097\/SLE.0000000000000804","volume":"30","author":"TK Liao","year":"2020","unstructured":"Liao TK, Wang CJ, Su PJ, Lui WH, Chao YJ, Sy ED, et al. Laparoscopic splenic vessels and spleen preservation distal pancreatectomy via inferior-posterior splenic vein approach. Surg Laparosc Endosc Percutan Tech. 2020;30:424\u20139.","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"1831_CR8","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1111\/ases.13176","volume":"16","author":"S Ito","year":"2023","unstructured":"Ito S, Sagawa H, Yamamoto S, Saito M, Ueno S, Hayakawa S, et al. Simultaneous robotic distal gastrectomy and distal pancreatectomy: avoiding total gastrectomy using indocyanine green fluorescence imaging. Asian J Endosc Surg. 2023;16:550\u20133.","journal-title":"Asian J Endosc Surg"},{"key":"1831_CR9","doi-asserted-by":"publisher","first-page":"311","DOI":"10.3390\/cancers15010311","volume":"15","author":"Y Kano","year":"2023","unstructured":"Kano Y, Ohashi M, Nunobe S. Laparoscopic function-preserving gastrectomy for proximal gastric cancer or esophagogastric junction cancer: a narrative review. Cancers. 2023;15:311.","journal-title":"Cancers"},{"key":"1831_CR10","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1007\/s10120-017-0755-0","volume":"21","author":"H Furukawa","year":"2018","unstructured":"Furukawa H, Kurokawa Y, Takiguchi S, Tanaka K, Miyazaki Y, Makino T, et al. Short-term outcomes and nutritional status after laparoscopic subtotal gastrectomy with a very small remnant stomach for cStage I proximal gastric carcinoma. Gastric Cancer. 2018;21:500\u20137.","journal-title":"Gastric Cancer"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01831-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01831-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01831-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T02:28:27Z","timestamp":1707445707000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01831-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,9]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1831"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01831-y","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,2,9]]},"assertion":[{"value":"17 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for treatment and publication of the case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}