<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Bramis, Konstantinos</style></author><author><style face="normal" font="default" size="100%">Vouros, Dimitrios</style></author><author><style face="normal" font="default" size="100%">Kotsarinis, Vasileios</style></author><author><style face="normal" font="default" size="100%">Frountzas, Maximos</style></author><author><style face="normal" font="default" size="100%">Antonakis, Pantelis</style></author><author><style face="normal" font="default" size="100%">Memos, Nikolaos</style></author><author><style face="normal" font="default" size="100%">Alexakis, Nikolaos</style></author><author><style face="normal" font="default" size="100%">Konstadoulakis, Manousos</style></author><author><style face="normal" font="default" size="100%">Toutouzas, Konstantinos</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Completion Pancreatectomy as a Treatment Option for Complications Following Pancreatoduodenectomy.</style></title><secondary-title><style face="normal" font="default" size="100%">Am Surg</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Am Surg</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Pancreas</style></keyword><keyword><style  face="normal" font="default" size="100%">Pancreatectomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Pancreatic Fistula</style></keyword><keyword><style  face="normal" font="default" size="100%">Pancreaticoduodenectomy</style></keyword><keyword><style  face="normal" font="default" size="100%">Postoperative Complications</style></keyword><keyword><style  face="normal" font="default" size="100%">Retrospective Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Sepsis</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2023 Dec</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">89</style></volume><pages><style face="normal" font="default" size="100%">6348-6350</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">Pancreatoduodenectomy remains a complex abdominal operation for hpb surgeons. Significant complications keep on occurring to many patients undergoing Whipple procedure. We present ten patients, who required completion pancreatectomy in the early postoperative period after Whipples procedure, due to postoperative complications. Indications for completion pancreatectomy included: Sepsis secondary to uncontrolled GRADE C postoperative pancreatic fistula, pancreatic leak and bleeding, postoperative hemorrhage, pancreatic leak with gastrointestinal anastomosis dehiscence, and hepaticojejunal anastomosis dehiscence combined with hemorrhage. Completion pancreatectomy was carried out at a mean interval of 9 days following Whipple procedure. Six patients (60%) survived the operation and discharged from the hospital, with a median survival of 21.3 months. Four patients (40%) died in the early post-operative period due to sepsis (10%) and multiple organ failure (30%). Completion pancreatectomy after pancreatoduodenectomy is rarely indicated and it can be considered as a salvage procedure in the management of severe life-threatening post pancreatic surgery complications.</style></abstract><issue><style face="normal" font="default" size="100%">12</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/37159926?dopt=Abstract</style></custom1></record></records></xml>