<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552019000200279</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Actualidad en fístula pancreática postoperatoria]]></article-title>
<article-title xml:lang="en"><![CDATA[Current status in postoperative pancreatic fistula]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Rodríguez]]></surname>
<given-names><![CDATA[Miguel Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estopiñán-Cánovas]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Céspedes-Rodríguez]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Universitario Manuel Ascunce Domenech ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>279</fpage>
<lpage>292</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552019000200279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552019000200279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552019000200279&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: el cáncer de páncreas presenta una alta mortalidad, producto que la mayoría de las veces se diagnóstica en etapa avanzada. El tratamiento de elección es la resección quirúrgica, la cual debida a su complejidad está acompañada de una morbimortalidad importante, cuando no se realiza en centros de alto volumen. Dentro de las complicaciones, la fístula pancreática postoperatoria, es de aparición frecuente.  Objetivo: realizar una revisión sistemática actualizada acerca del concepto y clasificación de la fístula pancreática postoperatoria.  Métodos: se realizó una revisión sistemática de la literatura con la base de datos SCOPUS bajo los criterios que establecen sus revisores, se utillizaron las siguientes palabras claves: pancreatic fistula, pancreatic surgery, complications, mortality, Whipple procedure. Se incluyeron todas las publicaciones en inglés y español. El método de análisis y síntesis se utilizó para la interpretación de la bibliografía.  Resultados: se revisaron 175 artículos, de los cuales, se escogieron 55, que cumplían con los criterios de selección. Entre ellos, cuatro metanálisis, ocho artículos de revisión y 33 artículos originales.  Conclusiones: el concepto y clasificación de la fístula pancreática postoperatoria constituye una herramienta válida para la comparación de resultados quirúrgicos entre instituciones. La centralización de la atención en centros de alto volumen constituye la principal medida para disminuir esta complicación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  pancreatic cancer presents a high mortality, a product that most of the time is diagnosed in advanced stage. The treatment of choice is surgical resection, which due to its complexity is accompanied by significant morbidity and mortality when it is not performed in high-volume centers. Among the complications, the postoperative pancreatic fistula is of frequent appearance.  Objective:  to carry out an updated systematic review about the concept and classification of postoperative pancreatic fistula.  Methods:  a systematic review of the literature was carried out using the SCOPUS database under the criteria established by its reviewers, using the following keywords: pancreatic fistula, pancreatic surgery, complications, mortality, Whipple procedure. All publications in English and Spanish were included. The method of analysis and synthesis was used for the interpretation of the bibliography.  Results:  175 articles were reviewed, of which 55 were chosen that met the selection criteria. Among them, 4 meta-analyzes, 8 review articles and 33 original articles.  Conclusions:  the concept and classification of postoperative pancreatic fistula constitutes a valid tool for the comparison of surgical results between institutions. The centralization of care in high-volume centers is the main measure to reduce this complication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FÍSTULA PANCREÁTICA/cirugía]]></kwd>
<kwd lng="es"><![CDATA[COMPLICACIONES POSOPERATORIAS]]></kwd>
<kwd lng="es"><![CDATA[NEOPLASIAS PANCREÁTICAS/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[NEOPLASIAS PANCREÁTICAS/mortalidad]]></kwd>
<kwd lng="es"><![CDATA[MÁRGENES DE ESCISIÓN]]></kwd>
<kwd lng="en"><![CDATA[PANCREATIC FISTULA/surgery]]></kwd>
<kwd lng="en"><![CDATA[POSTOPERATIVE COMPLICATIONS]]></kwd>
<kwd lng="en"><![CDATA[PANCREATIC NEOPLASMS/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[PANCREATIC NEOPLASMS/mortality]]></kwd>
<kwd lng="en"><![CDATA[MARGINS OF EXCISION]]></kwd>
</kwd-group>
</article-meta>
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