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腹腔镜不保留脾血管的保脾胰体尾切除术(Warshaw术式)中国专家共识(2026版)

中国研究型医院学会微创外科学专业委员会 胡三元

腹腔镜外科杂志2026,Vol.31Issue(4):247-255,9.
腹腔镜外科杂志2026,Vol.31Issue(4):247-255,9.DOI:10.13499/j.cnki.fqjwkzz.2026.04.247

腹腔镜不保留脾血管的保脾胰体尾切除术(Warshaw术式)中国专家共识(2026版)

Chinese expert consensus on laparoscopic spleen-preserving distal pancreatectomy with splenic vessel resection(Warshaw procedure)(2026)

中国研究型医院学会微创外科学专业委员会 1胡三元1

作者信息

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摘要

Abstract

With advancements in laparoscopic technology and the deepened emphasis on organ-preserving strategies,laparo-scopic spleen-preserving distal pancreatectomy(LSPDP)has been widely used in clinical practice.This procedure includes laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation(the Kimura procedure)and laparoscopic spleen-preserving distal pancreatectomy without splenic vessel preservation(the Warshaw procedure).The Kimura procedure is technically challenging,carries a higher risk of vascular injury,and may result in increased bleeding,whereas the Warshaw procedure offers advantages such as safety and a shorter learning curve.However,there is currently no unified surgical standard for the Warshaw procedure in China.To pro-mote the standar-dized implementation of this technique,the Minimally Invasive Surgery Committee of the Chinese Research Hospital Association organized domestic experts to develop this consensus.Based on the latest research findings and clinical practice experience,this consensus e laborates on the main contents of the laparoscopic Warshaw procedure,including indications,contraindications,surgical operation processes,and postoperative management,and proposes expert recommendations,aiming to provide scientific and standardized guidance for clinicians.The target population of this consensus comprises patients undergoing laparoscopic Warshaw procedures.Its in-tended users include surgeons,nursing staff,and related technical personnel engaged in pancreatic disease management across all levels of healthcare institutions.

关键词

远端胰腺切除术/保脾手术/腹腔镜检查/专家共识

Key words

Distal pancreatectomy/Spleen-preservingprocedures/Laparoscopy/Expert consensus

引用本文复制引用

中国研究型医院学会微创外科学专业委员会,胡三元..腹腔镜不保留脾血管的保脾胰体尾切除术(Warshaw术式)中国专家共识(2026版)[J].腹腔镜外科杂志,2026,31(4):247-255,9.

腹腔镜外科杂志

1009-6612

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