Laparoscopic spleen-preserving distal pancreatectomy for pancreatic neoplasms: A retrospective study

Figure 1 Surgical procedure of laparoscopic spleen-preserving distal pancreatectomy (Kimura’s technique). A: Trocar placement for LSPDP; B: The splenic artery was temporarily tied with a rubber band at its root in LSPDP; C: Mobilizing the inferior border of the pancreas and revealing the splenic vein; D: Transection of the pancreas with an endoscopic stapler; E: Branches of the splenic artery underwent ligation using a harmonic scalpel; F: Check the proximal pancreatic stump and splenic vessels after LSPDP. LSPDP: Laparoscopic spleen-preserving distal pancreatectomy; PV: Portal vein; SMV: Superior mesenteric vein.

Figure 2 Surgical procedure of laparoscopic spleen-preserving distal pancreatectomy (Warshaw’s technique). A: Dissect the splenic vein at its root, which was surrounded by the pancreatic mass; B: Dissect the splenic artery; C: Check the proximal pancreatic stump and spleen after LSPDP with ligation of splenic vessels. LSPDP: Laparoscopic spleen-preserving distal pancreatectomy; SMV: Superior mesenteric vein.