Warshaw Technique in Laparoscopic Spleen-Preserving Distal Pancreatectomy: Surgical Strategy and Late Outcomes of Splenic Preservation

Figure 1

Illustrations for key steps in Warshaw procedure. (a) Get access to the bursa omentalis. (b) Reveal the pancreatic lesion. (c) Establish the retropancreas tunnel. (d) Splenic vessels and pancreatic parenchyma compressed and cut with the stapler. (e) Pay attention to protecting the side branch vessels. (f) Distal sides of the splenic vessels were sectioned using the endoscopic stapler. (g/h/i) Representative pictures showing different ischemic states of the spleen.

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