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Updated: May 21, 2025

Robotic Spleen-Preserving Distal Pancreatectomy: The Warshaw and Kimura Techniques
Published on: July 26, 2024
Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series
Spiros Delis1, Dimosthenis Chrysikos2, Dimitris Liatsos2
1Department of General Surgery, Konstantopoulio General Hospital, Athens, GRC.
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.

