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Updated: Feb 6, 2026
07:33
Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques
Published on: July 26, 2024
3.3K
LAPAROSCOPIC DISTAL PANCREATECTOMY WITH SPLEEN PRESERVATION
Sergio Renato Pais-Costa1,2, Guilherme Costa Crispim de Sousa1,2, Sergio Luiz Melo Araujo1,2
1Hospital Santa Lúcia, Brasília, DF.
Summary
Laparoscopic distal pancreatectomy with spleen preservation using Kimura's technique is a safe and effective procedure. This minimally invasive approach offers low morbidity and no mortality, with no infectious complications or tumor recurrence in the long term.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastrointestinal surgery
Background:
- Laparoscopic distal pancreatectomy (LDP) offers advantages over open surgery for distal pancreas lesions.
- Spleen preservation during LDP may reduce long-term infectious complications.
Purpose of the Study:
- To evaluate the outcomes of LDP with spleen preservation using Kimura's technique.
- To assess both short- and long-term results of this specific surgical approach.
Main Methods:
- Retrospective case series analysis.
- Involved 26 cases of LDP with spleen preservation by Kimura's technique.
- Data collected on patient demographics, operative details, and short/long-term outcomes.
Main Results:
- Mean operative time was 144.1 minutes with minimal blood loss (119.2 ml).
- Postoperative morbidity was 11.5% with zero mortality.
- No infectious complications or tumor recurrence observed during a mean follow-up of 19.7 months.
Conclusions:
- LDP with spleen and splenic vessel preservation (Kimura's technique) is feasible, safe, and effective.
- The procedure demonstrates low morbidity, null mortality, and excellent long-term oncologic and infectious outcomes.
- This technique is a viable option for distal pancreatic resections requiring spleen preservation.
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