Journal of Gastrointestinal Cancer

, Volume 47, Issue 4, pp 509–513 | Cite as

Laparoscopic Completion Pancreatectomy for Local Recurrence in the Pancreatic Remnant after Pancreaticoduodenectomy: Case Reports and Review of the Literature

  • Mushegh A. SahakyanEmail author
  • Sheraz Yaqub
  • Airazat M. Kazaryan
  • Olaug Villanger
  • Audun Elnæs Berstad
  • Knut Jørgen Labori
  • Bjørn Edwin
  • Bård Ingvald Røsok
Case Report


Completion pancreatectomy (CP) is a surgical procedure, in which the aim is to remove the remnant pancreatic tissue after initial pancreatic resection. This technique is used as a salvage procedure after pancreaticoduodenectomy (PD) in patients, experiencing severe complications of pancreatic leakage. Although some authors have proposed not to consider CP in patients with a pancreatic fistula [1], Gueroult et al. assumed that CP may represent the only means to achieve adequate control of an ongoing infection [2]. Other reports also concluded that despite of significant morbidity and mortality CP has a role in the management of post-pancreatic surgical complications and may increase survival [3, 4].

Other clinical indication for this procedure is isolated local recurrence (ILR) of malignancy in the pancreatic remnant. However, given the low rate of resectable cases, the indications for surgery have not yet been clarified. Previously, limited experience with CP has been...


Renal Cell Carcinoma Enzyme Replacement Therapy Pancreatic Ductal Adenocarcinoma Metastatic Renal Cell Carcinoma Celiac Trunk 
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The authors declare that no financial support or incentive has been provided for this manuscript by any organization.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Mushegh A. Sahakyan
    • 1
    • 2
    Email author
  • Sheraz Yaqub
    • 3
  • Airazat M. Kazaryan
    • 1
    • 4
  • Olaug Villanger
    • 3
  • Audun Elnæs Berstad
    • 5
  • Knut Jørgen Labori
    • 3
  • Bjørn Edwin
    • 1
    • 2
    • 3
  • Bård Ingvald Røsok
    • 3
  1. 1.The Intervention CentreOslo University HospitalRikshospitaletNorway
  2. 2.Institute for Clinical Research, Medical FacultyUniversity of OsloOsloNorway
  3. 3.Department of Hepato-Pancreato-Billiary SurgeryOslo University HospitalRikshospitaletNorway
  4. 4.Department of SurgeryFinnmark HospitalKirkenesNorway
  5. 5.Department of RadiologyOslo University HospitalRikshospitaletNorway

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