腹腔镜保脾胰体尾切除Kimura法与Warshaw法的疗效比较OA

Objective:To compare the efficacy between the Kimura technique(splenic vessel preservation)and the Warshaw technique(splenic vessel division)in laparoscopic spleen-preserving distal pancreatectomy(LSPDP).Methods:A retrospective analy-sis was performed on clinical data of 51 patients who underwent LSPDP between Oct.2015 and Oct.2025.Based on the surgical proce-dure,patients were divided into the Kimura group(n=31)or the Warshaw group(n=20).The operative time,intraoperative blood loss,and postoperative complications(including pancreatic fistula,and splenic infarction)were compared between the two groups.Results:No statistically significant differences were found between the Kimura and Warshaw groups in tumor diameter[(38.81±18.25)mm vs.(42.65±23.40)mm,P＞0.05],operative time[(265.26±93.48)min vs.(262.55±83.77)min,P＞0.05],or intrao-perative blood loss[100.00(40.00,150.00)mL vs.50.00(50.00,100.00)mL,P＞0.05].Postoperative complications(including pancreatic fistula,splenic infarction,pulmonary infection,and abdominal effusion)were not significantly different(P＞0.05).Conclu-sions:Both the Kimura and Warshaw techniques for LSPDP are safe and effective for benign and low-grade malignant tumors of pancre-atic body and tail.The choice of technique dose not significantly affect the profile of postoperative complications.