title: [Follow-up studies for long-term postoperative complications of Warshaw operation].
abstract: OBJECTIVE
  To explore the long-term postoperative complications of Warshaw operation for distal pancreatectomy with preservation of spleen.
  
  
  METHODS
  Retrospectively analyzed the clinical data of distal pancreatectomy on 84 cases between January 2006 and January 2012. Among them, 35 patients underwent Warshaw operation for distal pancreatectomy with preservation of spleen and another 23 had distal pancreatectomy with Kimura operation. All of them were followed up.
  
  
  RESULTS
  All procedures were successful. There was no perioperative mortality. During the follow-up period, 2 patients undergoing Warshaw operation were lost. The median follow-up period was 2.6 years (range: 0.75-6.75). Twenty-six patients with the recent neuroimaging data showed: 5 patients were diagnosed of splenic infarction and the incidence rate was 19.2% (5/26) and 6 with gastric varices and the incidence rate was 23.1% (6/26). But none of them developed gastrointestinal hemorrhage or splenic abscess.
  
  
  CONCLUSIONS
  The Warshaw operation for distal pancreatectomy with preservation of spleen may increase the risk of long-term postoperative complications so that its operative indication must be strictly mastered.
authors.affiliation: Department of Hepatobiliary Surgery, PLA General Hospital, Beijing, China.
authors.forename: Shao-cheng
authors.initials: SC
authors.lastname: Lü
authors.forename: Xian-jie
authors.initials: XJ
authors.lastname: Shi
authors.forename: Hong-guang
authors.initials: HG
authors.lastname: Wang
authors.forename: Wen-bin
authors.initials: WB
authors.lastname: Ji
authors.forename: Tao
authors.initials: T
authors.lastname: Wan
authors.forename: Ming-yue
authors.initials: MY
authors.lastname: Xu
authors.forename: Wen-wen
authors.initials: WW
authors.lastname: Zhang
authors.forename: Tong-you
authors.initials: TY
authors.lastname: Liu
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D016896:Treatment Outcome