Use my Search Websuite to scan PubMed, PMCentral, Journal Hosts and Journal Archives, FullText. Kick-your-searchterm to multiple Engines kick-your-query now !>

A dictionary by aggregated review articles of nephrology, medicine and the life sciences Your one-stop-run pathway from word to the immediate pdf of peer-reviewed on-topic knowledge.

10.1177/00031348251405568 http://scihub22266oqcxt.onion/10.1177/00031348251405568 41359292!?!41359292 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=41359292&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Am+Surg 2025 ; ? (?): 31348251405568 Nephropedia Template TP {{tp|p=41359292|t=2025. Spleen Preservation in Solid Pseudopapillary Neoplasms: Evidence, Rationale, and Practical Considerations |pdf=|usr=}}{{41359292}} gab.com Text Spleen Preservation in Solid Pseudopapillary Neoplasms: Evidence, Rationale, and Practical Considerations JO: Am Surg http://www.kidney.de/pget.php?&tw=1&pmid=41359292 #FOAvip Solid pseudopapillary neoplasms (SPNs) of the pancreas primarily affect young women, placing the surgical decision for distal tumors at a clinical crossroads: the oncologic necessity of splenectomy vs the long-term immunologic benefit of spleen preservation. This study synthesizes the current evidence to guide clinical practice. We conducted a systematic review and meta-analysis comparing laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with laparoscopic distal pancreatectomy with splenectomy (LSDP) for SPN, identifying 3 retrospective studies (n = 96 patients). The evidence base, though limited, showed comparable perioperative morbidity. No significant differences were found in overall complications (OR = 0.73; 95% CI: 0.23 to 2.31; P = 0.60), postoperative pancreatic fistula (OR = 0.51; 95% CI: 0.09 to 2.92; P = 0.45), or severe complications (OR = 0.32; 95% CI: 0.05 to 1.96; P = 0.22). Laparoscopic distal pancreatectomy with splenectomy was associated with a significantly shorter operative time (MD = -63.49 min; 95% CI: -123.79 to -3.18; P = 0.04). A non-significant trend toward a higher lymph node yield was observed in the LSDP group (MD = +4.29; 95% CI: -0.29 to 8.86; P = 0.07). The available evidence suggests LSPDP is a safe and feasible option in selected patients, achieving comparable short-term morbidity to LSDP. Given the low malignant potential of SPNs and the lifelong immunologic benefits of splenic function, especially in the typical young patient demographic, LSPDP should be the preferred approach when oncologically and technically feasible. This review provides a practical framework for surgical decision making in this rare tumor. Twit Text FOAVip Spleen Preservation in Solid Pseudopapillary Neoplasms: Evidence, Rationale, and Practical Considerations ????Am Surg http://www.kidney.de/pget.php?&tw=1&pmid=41359292 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=41359292 #FOAvip English Wikipedia <ref>{{Cite pmid|41359292}}</ref> Spleen Preservation in Solid Pseudopapillary Neoplasms: Evidence, Rationale, and Practical Considerations #MMPMID41359292 Lenzi MC; Carvalho MCAP; Rocha GFS; Juca RH; De Oliveira Filho M; Souza DLS; Fernandes MM; Santana AUL; Camarotti TAF; Portugal MM; De Mello EB Am Surg 2025[Dec]; ? (?): 31348251405568 PMID41359292show ga Solid pseudopapillary neoplasms (SPNs) of the pancreas primarily affect young women, placing the surgical decision for distal tumors at a clinical crossroads: the oncologic necessity of splenectomy vs the long-term immunologic benefit of spleen preservation. This study synthesizes the current evidence to guide clinical practice. We conducted a systematic review and meta-analysis comparing laparoscopic spleen-preserving distal pancreatectomy (LSPDP) with laparoscopic distal pancreatectomy with splenectomy (LSDP) for SPN, identifying 3 retrospective studies (n = 96 patients). The evidence base, though limited, showed comparable perioperative morbidity. No significant differences were found in overall complications (OR = 0.73; 95% CI: 0.23 to 2.31; P = 0.60), postoperative pancreatic fistula (OR = 0.51; 95% CI: 0.09 to 2.92; P = 0.45), or severe complications (OR = 0.32; 95% CI: 0.05 to 1.96; P = 0.22). Laparoscopic distal pancreatectomy with splenectomy was associated with a significantly shorter operative time (MD = -63.49 min; 95% CI: -123.79 to -3.18; P = 0.04). A non-significant trend toward a higher lymph node yield was observed in the LSDP group (MD = +4.29; 95% CI: -0.29 to 8.86; P = 0.07). The available evidence suggests LSPDP is a safe and feasible option in selected patients, achieving comparable short-term morbidity to LSDP. Given the low malignant potential of SPNs and the lifelong immunologic benefits of splenic function, especially in the typical young patient demographic, LSPDP should be the preferred approach when oncologically and technically feasible. This review provides a practical framework for surgical decision making in this rare tumor. ?Spleen Preservation in Solid Pseudopapillary Neoplasms: Evidence, Rati(epmc).pdf DeepDyve Pubget Overpricing