# Warshaw Technique in Spleen-Preserving Pancreatectomy: A Case Series

## TL;DR

This paper presents three cases where the Warshaw technique was used to remove the pancreas while preserving the spleen, showing its benefits in reducing complications.

## Contribution

The paper contributes a case series demonstrating the practical application and advantages of the Warshaw technique in spleen-preserving pancreatectomy.

## Key findings

- The Warshaw technique successfully preserved the spleen in three patients with pancreatic head neoplasms.
- The technique maintained splenic blood supply and reduced postoperative complications.
- It was effective in complex cases, including obesity and prior gastric surgery.

## 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.