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保留脾脏的胰十二指肠切除术中的Warshaw技术：病例系列

Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series.

作者信息

Delis Spiros, Chrysikos Dimosthenis, Liatsos Dimitris, Sperdouli Despoina, Alifieris Konstantinos, Shihada Amir, Saintanis Michail, Kokoroskos Nikos, Palantzas Andreas, Liakopoulos Konstantinos, Troupis Theodore

机构信息

Department of General Surgery, Konstantopoulio General Hospital, Athens, GRC.

Department of Anatomy, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

出版信息

Cureus. 2025 Feb 18;17(2):e79211. doi: 10.7759/cureus.79211. eCollection 2025 Feb.

DOI:10.7759/cureus.79211
PMID:40115673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11924290/
Abstract

We present three cases of spleen-preserving total pancreatectomy using the Warshaw technique for neoplasms of the pancreatic head. The first case involved a 5 cm mucinous pancreatic neoplasm invading the middle colic artery. The second case featured a patient with a BMI of 40 and adenocarcinoma of the pancreatic head. The third case involved a serous cystadenoma in the pancreatic head in a patient with a history of gastric surgery for a gastric ulcer, requiring surgical intervention due to weight loss and abdominal symptoms. These cases highlight the surgical nuances and benefits of the Warshaw technique, particularly its role in preserving splenic blood supply and reducing postoperative complications.

摘要

我们展示了三例采用Warshaw技术进行的保留脾脏的全胰切除术，用于治疗胰头肿瘤。第一例是一个5厘米的黏液性胰腺肿瘤侵犯了中结肠动脉。第二例是一名BMI为40的胰头腺癌患者。第三例是一名有胃溃疡胃手术史的患者，其胰头有浆液性囊腺瘤，因体重减轻和腹部症状需要手术干预。这些病例突出了Warshaw技术的手术细微差别和益处，特别是其在保留脾脏血液供应和减少术后并发症方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/38ad67dcfd55/cureus-0017-00000079211-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/9c27ab81285b/cureus-0017-00000079211-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/ec85bc176835/cureus-0017-00000079211-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/9ca3afc4a9cd/cureus-0017-00000079211-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/38ad67dcfd55/cureus-0017-00000079211-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/9c27ab81285b/cureus-0017-00000079211-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/ec85bc176835/cureus-0017-00000079211-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/9ca3afc4a9cd/cureus-0017-00000079211-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f6e/11924290/38ad67dcfd55/cureus-0017-00000079211-i04.jpg

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Pancreatic Cancer: A Review of Current Treatment and Novel Therapies.胰腺癌：当前治疗方法与新型疗法综述
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Long term outcome after minimally invasive and open Warshaw and Kimura techniques for spleen-preserving distal pancreatectomy: International multicenter retrospective study.保脾胰体尾切除术微创与开腹 Warshaw 和 Kimura 技术的长期结果：国际多中心回顾性研究。
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Prospective study of the incidence and risk factors of postsplenectomy thrombosis of the portal, mesenteric, and splenic veins.脾切除术后门静脉、肠系膜静脉和脾静脉血栓形成的发病率及危险因素的前瞻性研究。
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Laparoscopic distal pancreatectomy combined with preservation of the spleen for cystic neoplasms of the pancreas.腹腔镜远端胰腺切除术联合保留脾脏治疗胰腺囊性肿瘤
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