{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:57:34Z","timestamp":1793073454078,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,2,5]],"date-time":"2015-02-05T00:00:00Z","timestamp":1423094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,2,5]],"date-time":"2015-02-05T00:00:00Z","timestamp":1423094400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010pancreatic surgical morbidity is frequent but often manageable by less invasive means than re\u2010operation. Yet, some complications can become hazardous and life threatening. Herein, the results of a completion pancreatectomy (CP) to cope with severe post\u2010operative pancreatic fistulas (POPF) and bleeding complications after major pancreatic resections for suspected pancreatic malignancy are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>CPs to treat severe post\u2010pancreatic index\u2010surgery complications between January 2002 and January 2012 were selected out of a prospective database. Indications for CP as well as perioperative data were prospectively collected and retrospectively assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 20 of 521\u00a0Kausch\u2013Whipple Resections (3.8 %), a CP was necessary to treat post\u2010index surgery morbidity. Indications included insufficiency of the pancreaticojejunal anastomosis with resulting POPF in 14 (70.0 %) patients, severe bleeding complications in 6 (30.0 %) patients, and a severe portal vein thrombosis in 1 (5.0 %) patient. In 7 (35.0 %) of the 20 patients, the course was complicated by remnant pancreatitis. Eleven (55.0 %) of the 20 patients died during the hospital stay. Median time to re\u2010operation did not significantly differ between survivors and in\u2010hospital deaths (10.0 vs. 8.0\u00a0days;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.732). Median hospital stay of the surviving patients was 31.0 (range 10\u2013113) days. Re\u2010operations following CPs were necessary in 5 (55.6 %) of the 9 patients who survived and in 9 (81.8 %) out of 11 patients who died.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Post\u2010pancreatic resection complications can become hazardous and result in severely ill patients requiring maximum therapy. CP in these cases has a high mortality but serves as an\n                      <jats:italic>ultima ratio<\/jats:italic>\n                      to cope with deleterious complications.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-015-2969-9","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T15:17:51Z","timestamp":1423063071000},"page":"1550-1556","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Salvage Completion Pancreatectomies as Damage Control for Post\u2010pancreatic Surgery Complications: A Single\u2010Center Retrospective Analysis"],"prefix":"10.1002","volume":"39","author":[{"given":"Michael F.","family":"Nentwich","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander T.","family":"El Gammal","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torben","family":"Lemcke","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarik","family":"Ghadban","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Bellon","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel","family":"Melling","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Bachmann","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Reeh","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faik G.","family":"Uzunoglu","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob R.","family":"Izbicki","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Bockhorn","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg\u2010Eppendorf Martinistrasse 52 20246 Hamburg 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