पोस्टऑपरेटिव पैन्क्रियाटिक फिस्टुला ग्रेड C (गंभीर) का एकल या बहु-अंग विफलता के साथ उपचार

DOI: 10.1097/JS9.0000000000001395

1. Patients with a grade C have developed single or multiple organ failure as a direct result of the POPF and might require surgical reoperation to manage the clinical status.
2. Surgical intervention should be considered when the patient deteriorates despite maximal supporting care, for septic intra-abdominal collections inaccessible to percutaneous or endoscopic drainage or for suspected peritonitis by visceral perforation.
3. In this scenario, the key decision is whether preserving the pancreatic remnant or proceed with the completion pancreatectomy (CPLP).
4. The choice of the technique mostly relies on intraoperative findings and patient's clinical stability, since access to the complication site can be problematic due to the significant inflammation from local sepsis and tissue degradation.