Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series

We present three cases of spleen-preserving total pancreatectomy using the Warshaw technique for neoplasms of the pancreatic head. The first case involved a 5 cm mucinous pancreatic neoplasm invading the middle colic artery. The second case featured a patient with a BMI of 40 and adenocarcinoma of the pancreatic head. The third case involved a serous cystadenoma in the pancreatic head in a patient with a history of gastric surgery for a gastric ulcer, requiring surgical intervention due to weight loss and abdominal symptoms. These cases highlight the surgical nuances and benefits of the Warshaw technique, particularly its role in preserving splenic blood supply and reducing postoperative complications.

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Journal
Cureus
Published
2025-02-18
DOI
https://doi.org/10.7759/cureus.79211
Primary Topic
Pancreatic and Hepatic Oncology Research
Type
article
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article

Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series

Amir Shihada, Theodore G. Troupis, Spiros Delis, Dimosthenis Chrysikos et al.
Cureus
Pancreatic and Hepatic Oncology Research
article

Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series

Amir Shihada, Theodore G. Troupis, Spiros Delis, Dimosthenis Chrysikos, Konstantinos Alifieris, A. Palantzas, Nikolaos Kokoroskos, Dimitris Liatsos, Michail Saintanis, Konstantinos Liakopoulos, Despoina Sperdouli
article en

Abstract

We present three cases of spleen-preserving total pancreatectomy using the Warshaw technique for neoplasms of the pancreatic head. The first case involved a 5 cm mucinous pancreatic neoplasm invading the middle colic artery. The second case featured a patient with a BMI of 40 and adenocarcinoma of the pancreatic head. The third case involved a serous cystadenoma in the pancreatic head in a patient with a history of gastric surgery for a gastric ulcer, requiring surgical intervention due to weight loss and abdominal symptoms. These cases highlight the surgical nuances and benefits of the Warshaw technique, particularly its role in preserving splenic blood supply and reducing postoperative complications.

CureusVol. 17(2)
National and Kapodistrian University of Athens (GR), Agia Olga Hospital (GR)
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Openalex Percentile: Top 96%
Pancreatic and Hepatic Oncology Research
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Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series — Amir Shihada, Theodore G. Troupis, et al. · Cureus (2025) | TGRS Research Map | TGRS