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Updated: Feb 16, 2026

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques
Published on: July 26, 2024
Robotic-assisted spleen preserving distal pancreatectomy: a technical review
Yen-Yi Juo1,2, Jonathan C King2
1Department of Surgery, Center for Advanced Surgical and Interventional Technology (CASIT) at UCLA, Los Angeles, CA, USA.
Abstract:
Minimally-invasive spleen-preserving distal pancreatectomy is indicated for benign or borderline malignant lesions confined to the pancreatic body and tail. With the introduction of the da Vinci robotic system, preliminary case series have suggested an improved spleen preservation rate, higher rate of margin negative resections and improved lymph node yield versus the standard laparoscopic approach. In this article, we described our approach to robotic-assisted distal pancreatectomy with both vessel-conserving (Kimura) and vessel-sacrificing (Warshaw) variations.
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