腹腔镜外科杂志2026，Vol.31Issue(2)：100-105,6.DOI:10.13499/j.cnki.fqjwkzz.2026.02.100
腹腔镜保脾胰体尾切除Kimura法与Warshaw法的疗效比较
Construction of a prediction model for the efficacy of laparoscopic sleeve gastrectomy in the treatment of metabolic dysfunction-associated fatty liver disease
摘要
Abstract
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.关键词
胰腺肿瘤/腹腔镜检查/保脾胰体尾切除术/Kimura法/Warshaw法Key words
Pancreatic neoplasms/Laparoscopy/Spleen-preserving distal pancreatectomy/Kimura technique/Warshaw tech-nique分类
医药卫生引用本文复制引用
王静远,吴振宇,董苏和,王馨宇,贺竞威,张强..腹腔镜保脾胰体尾切除Kimura法与Warshaw法的疗效比较[J].腹腔镜外科杂志,2026,31(2):100-105,6.基金项目
内蒙古自治区医药卫生科技项目(20211220) （20211220）
内蒙古医科大学面上项目(YKD2021MSO29) （YKD2021MSO29）
内蒙古自治区自然科学基金项目(2023MS08051) （2023MS08051）
