{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T12:44:33Z","timestamp":1787229873025,"version":"build-2736575974"},"reference-count":44,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","hpbonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["HPB"],"published-print":{"date-parts":[[2023,8]]},"DOI":"10.1016\/j.hpb.2023.04.003","type":"journal-article","created":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T04:48:50Z","timestamp":1681447730000},"page":"881-889","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preemptive wirsungostomy: a safe fistula for avoiding a dreadful fistula in elective or planned pancreatoduodenectomy"],"prefix":"10.1016","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2562-4456","authenticated-orcid":false,"given":"Arthur","family":"Marichez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Philippe","family":"Adam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Mauriac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goudarz T.","family":"Passand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Laurent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Chiche","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hpb.2023.04.003_bib1","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1002\/bjs.10832","article-title":"Meta-analysis of an artery-first approach \\textitversus standard pancreatoduodenectomy on perioperative outcomes and survival","volume":"105","author":"Ironside","year":"2018","journal-title":"Br J Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jamcollsurg.2012.09.002","article-title":"A\u00a0prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy","volume":"216","author":"Callery","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib3","article-title":"Somatostatin analogues for pancreatic surgery","author":"Gurusamy","year":"2013","journal-title":"Cochrane Db Syst Rev"},{"key":"10.1016\/j.hpb.2023.04.003_bib4","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1001\/jamasurg.2019.6035","article-title":"Pancreaticojejunostomy with externalized stent vs pancreaticogastrostomy with externalized stent for patients with high-risk pancreatic anastomosis","volume":"155","author":"Andrianello","year":"2020","journal-title":"Jama Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib5","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/j.surg.2016.11.021","article-title":"Pancreatic anastomosis after pancreatoduodenectomy: a position statement by the international study group of pancreatic surgery (ISGPS)","volume":"161","author":"Shrikhande","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib6","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.surg.2013.05.035","article-title":"Use and results of consensus definitions in pancreatic surgery: a systematic review","volume":"155","author":"Harnoss","year":"2014","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib7","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1001\/jamasurg.2016.5708","article-title":"Management of severe pancreatic fistula after pancreatoduodenectomy","volume":"152","author":"Smits","year":"2017","journal-title":"Jama Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib8","first-page":"61828","article-title":"Is primary total pancreatectomy in patients with high-risk pancreatic remnant justified and preferable to pancreaticoduodenectomy? \u2014a matched-pairs analysis of 200 patients","volume":"10","author":"Luu","year":"2020","journal-title":"Gland Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib9","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/j.hpb.2021.12.018","article-title":"Total pancreatectomy as an alternative to high-risk pancreatojejunostomy after pancreatoduodenectomy: a propensity score analysis on surgical outcome and quality of life","volume":"24","author":"Stoop","year":"2022","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib10","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1007\/s13304-021-01130-3","article-title":"Total pancreatectomy and pancreatic fistula: friend or foe?","volume":"73","author":"Salvia","year":"2021","journal-title":"Updat Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib11","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1111\/j.1477-2574.2011.00406.x","article-title":"Wirsungostomy as a salvage procedure after pancreaticoduodenectomy","volume":"14","author":"Denost","year":"2012","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib12","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.amjsurg.2012.10.039","article-title":"Surgical treatment of severe pancreatic fistula after pancreaticoduodenectomy by wirsungostomy and repeat pancreatico-jejunal anastomosis","volume":"206","author":"Paye","year":"2013","journal-title":"Am J Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib13","first-page":"545","article-title":"Progress in reconstruction after resection of the head of the pancreas","volume":"164","author":"Funovics","year":"1987","journal-title":"Surg Gynecol Obstetrics"},{"key":"10.1016\/j.hpb.2023.04.003_bib14","first-page":"421","article-title":"Pancreaticoduodenectomy with external drainage of the residual pancreatic duct","volume":"159","author":"Schoretsanitis","year":"1993","journal-title":"European J Surg Acta Chir"},{"key":"10.1016\/j.hpb.2023.04.003_bib15","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S0002-9610(99)80226-8","article-title":"Pancreaticojejunostomy versus controlled pancreaticocutaneous fistula in pancreaticoduodenectomy for perianipullary carcinoma","volume":"169","author":"Reissman","year":"1995","journal-title":"Am J Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib16","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1002\/jso.1060","article-title":"Reconstruction of the pancreatic duct after pancreaticoduodenectomy: a modification of the Whipple procedure","volume":"77","author":"Katsaragakis","year":"2001","journal-title":"J\u00a0Surg Oncol"},{"key":"10.1016\/j.hpb.2023.04.003_bib17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.amjsurg.2007.05.050","article-title":"Two-stage pancreatojejunostomy in pancreaticoduodenectomy: a retrospective analysis of short-term results","volume":"196","author":"Hasegawa","year":"2008","journal-title":"Am J Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib18","doi-asserted-by":"crossref","DOI":"10.1097\/SLA.0000000000002620","article-title":"Updated alternative fistula risk score (Ua-FRS) to include minimally invasive pancreatoduodenectomy","author":"Mungroop","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib19","article-title":"A\u00a0simple classification of pancreatic duct size and texture predicts postoperative pancreatic fistula: a classification of the international study group of pancreatic surgery (ISGPS)","author":"Schuh","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib20","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib21","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","article-title":"Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the international study group of pancreatic surgery (ISGPS)","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib22","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","article-title":"Postpancreatectomy hemorrhage (PPH)\u2013An international study group of pancreatic surgery (ISGPS) definition","volume":"142","author":"Wente","year":"2007","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib23","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/j.surg.2010.12.002","article-title":"Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the international study group of liver surgery","volume":"149","author":"Koch","year":"2011","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib24","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/j.hpb.2021.04.003","article-title":"Does pre-operative embolization of a replaced right hepatic artery before pancreaticoduodenectomy for pancreatic adenocarcinoma affect postoperative morbidity and R0 resection? A Bi-centric French cohort study","volume":"23","author":"Marichez","year":"2021","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib25","doi-asserted-by":"crossref","first-page":"W175","DOI":"10.2214\/AJR.08.1800","article-title":"Utility of CT in the diagnosis of pancreatic fistula after pancreaticoduodenectomy in patients with soft pancreas","volume":"193","author":"Bruno","year":"2009","journal-title":"Am J Roentgenol"},{"key":"10.1016\/j.hpb.2023.04.003_bib26","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.2337\/dc13-S067","article-title":"Diagnosis and classification of diabetes mellitus","volume":"36","author":"Association","year":"2013","journal-title":"Diabetes Care"},{"key":"10.1016\/j.hpb.2023.04.003_bib27","doi-asserted-by":"crossref","first-page":"2317","DOI":"10.1007\/s11605-020-04883-1","article-title":"Exocrine pancreatic insufficiency after pancreatectomy for malignancy: systematic review and optimal management recommendations","volume":"25","author":"Moore","year":"2021","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib28","article-title":"Alternative fistula risk score for pancreatoduodenectomy (a-FRS)","author":"Mungroop","year":"2017","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib29","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.surg.2009.12.005","article-title":"Fatty pancreas and increased body mass index are risk factors of pancreatic fistula after pancreaticoduodenectomy","volume":"148","author":"Gaujoux","year":"2010","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib30","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1111\/hpb.12186","article-title":"A\u00a0preoperative predictive score of pancreatic fistula following pancreatoduodenectomy","volume":"16","author":"Roberts","year":"2014","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib31","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.amjsurg.2008.03.004","article-title":"Life-threatening postoperative pancreatic fistula (grade C) after pancreaticoduodenectomy: incidence, prognosis, and risk factors","volume":"197","author":"Fuks","year":"2009","journal-title":"Am J Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib32","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1002\/jhbp.713","article-title":"Facing the surgeon's nightmare: incidence and management of postoperative pancreatic fistulas grade C after pancreaticoduodenectomy based on the updated definition of the international study group of pancreatic surgery (ISGPS)","volume":"27","author":"Luu","year":"2020","journal-title":"J\u00a0Hepato Biliary Pancreat Sci"},{"key":"10.1016\/j.hpb.2023.04.003_bib33","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1097\/SLA.0000000000001537","article-title":"Risk-adjusted outcomes of clinically relevant pancreatic fistula following pancreatoduodenectomy","volume":"264","author":"McMillan","year":"2016","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib34","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.surg.2015.09.014","article-title":"Postoperative pancreatic fistula: we need to redefine grades B and C","volume":"159","author":"Hackert","year":"2016","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib35","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1016\/j.hpb.2018.04.003","article-title":"Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 international study group pancreatic fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture","volume":"20","author":"Eshmuminov","year":"2018","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib36","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.hpb.2020.05.003","article-title":"A\u00a0systematic review and meta-analysis on the role of omental or falciform ligament wrapping during pancreaticoduodenectomy","volume":"22","author":"Andreasi","year":"2020","journal-title":"HPB"},{"key":"10.1016\/j.hpb.2023.04.003_bib37","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.surg.2018.01.024","article-title":"New-onset diabetes after pancreatoduodenectomy: a systematic review and meta-analysis","volume":"164","author":"Scholten","year":"2018","journal-title":"Surgery"},{"key":"10.1016\/j.hpb.2023.04.003_bib38","article-title":"High-risk pancreatic anastomosis vs. Total pancreatectomy after pancreatoduodenectomy: postoperative outcomes and quality of life analysis","author":"Marchegiani","year":"2021","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib39","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1007\/s00423-021-02157-1","article-title":"Total pancreatectomy as alternative to pancreatico-jejunal anastomosis in patients with high fistula risk score: the choice of the fearful or of the wise?","volume":"406","author":"Capretti","year":"2021","journal-title":"Langenbeck\u2019s Archives Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib40","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1111\/ajt.13656","article-title":"Autologous islet transplantation in patients requiring pancreatectomy: a broader spectrum of indications beyond chronic pancreatitis","volume":"16","author":"Balzano","year":"2016","journal-title":"Am J Transplant"},{"key":"10.1016\/j.hpb.2023.04.003_bib41","article-title":"Total pancreatectomy with islet autotransplantation as an alternative to high-risk pancreatojejunostomy after pancreaticoduodenectomy: a prospective randomized trial","author":"Balzano","year":"2022","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib42","first-page":"2723","article-title":"Total pancreatectomy with autologous islet cell transplantation\u2014the current indications","volume":"10","author":"Jab\u0142o\u0144ska","year":"2021","journal-title":"J\u00a0Clin Medicine"},{"key":"10.1016\/j.hpb.2023.04.003_bib43","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/SLA.0000000000003514","article-title":"Permanent pancreatic duct occlusion with neoprene-based glue injection after pancreatoduodenectomy at high risk of pancreatic fistula","volume":"270","author":"Mazzaferro","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.hpb.2023.04.003_bib44","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.hpb.2022.03.015","article-title":"Postoperative morbidity and mortality after pancreatoduodenectomy with pancreatic duct occlusion compared to pancreatic anastomosis: a systematic review and meta-analysis","volume":"24","author":"Chierici","year":"2022","journal-title":"HPB"}],"container-title":["HPB"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1365182X23001211?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1365182X23001211?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:40:55Z","timestamp":1761266455000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1365182X23001211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":44,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["S1365182X23001211"],"URL":"https:\/\/doi.org\/10.1016\/j.hpb.2023.04.003","relation":{},"ISSN":["1365-182X"],"issn-type":[{"value":"1365-182X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Preemptive wirsungostomy: a safe fistula for avoiding a dreadful fistula in elective or planned pancreatoduodenectomy","name":"articletitle","label":"Article Title"},{"value":"HPB","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hpb.2023.04.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}