Lü Shao-cheng, Shi Xian-jie, Wang Hong-guang, Ji Wen-bin, Wan Tao, Xu Ming-yue, Zhang Wen-wen, Liu Tong-you
Department of Hepatobiliary Surgery, PLA General Hospital, Beijing, China.
Zhonghua Yi Xue Za Zhi. 2013 Apr 9;93(14):1096-8.
To explore the long-term postoperative complications of Warshaw operation for distal pancreatectomy with preservation of spleen.
Retrospectively analyzed the clinical data of distal pancreatectomy on 84 cases between January 2006 and January 2012. Among them, 35 patients underwent Warshaw operation for distal pancreatectomy with preservation of spleen and another 23 had distal pancreatectomy with Kimura operation. All of them were followed up.
All procedures were successful. There was no perioperative mortality. During the follow-up period, 2 patients undergoing Warshaw operation were lost. The median follow-up period was 2.6 years (range: 0.75-6.75). Twenty-six patients with the recent neuroimaging data showed: 5 patients were diagnosed of splenic infarction and the incidence rate was 19.2% (5/26) and 6 with gastric varices and the incidence rate was 23.1% (6/26). But none of them developed gastrointestinal hemorrhage or splenic abscess.
The Warshaw operation for distal pancreatectomy with preservation of spleen may increase the risk of long-term postoperative complications so that its operative indication must be strictly mastered.
探讨保留脾脏的胰体尾切除术（Warshaw术）术后远期并发症。
回顾性分析2006年1月至2012年1月期间84例行胰体尾切除术患者的临床资料。其中35例行保留脾脏的胰体尾切除术（Warshaw术），23例行胰体尾切除术联合木村手术。所有患者均获随访。
所有手术均成功，无围手术期死亡。随访期间，2例行Warshaw术患者失访。中位随访时间为2.6年（范围：0.75 - 6.75年）。26例有近期神经影像学资料患者显示：5例诊断为脾梗死，发生率为19.2%（5/26）；6例有胃静脉曲张，发生率为23.1%（6/26）。但均未发生消化道出血或脾脓肿。
保留脾脏的胰体尾切除术（Warshaw术）可能增加术后远期并发症风险，其手术指征必须严格掌握。
