<?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>1688-1281</journal-id>
<journal-title><![CDATA[Revista Cirugía del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. Urug.]]></abbrev-journal-title>
<issn>1688-1281</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Cirugía del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12812025000101204</article-id>
<article-id pub-id-type="doi">10.31837/cir.urug/9.1.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad de la duodeno-pancreatectomía según los estándares internacionales. ¿podemos cumplirlos en Uruguay? Resultados preliminares de un nuevo equipo de cirugía HPB en un centro docente asistencial.]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of duodenal-pancreatectomy according to international standards. Can we achieve them in Uruguay? Preliminary results of a new HPB surgical team at a teaching center.]]></article-title>
<article-title xml:lang="pt"><![CDATA[Qualidade da pancreatoduodenectomia de acordo com os padrões internacionais. Podemos atingi-los no Uruguai? Resultados preliminares de uma nova equipe cirúrgica de HPB em um centro de ensino.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soumastre]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berhouet]]></surname>
<given-names><![CDATA[Facundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prestes]]></surname>
<given-names><![CDATA[Jimena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Murias]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Curi]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Facultad de Medicina, Udelar Hospital Pasteur Clínica Quirúrgica &#8220;1&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Medicina, Udelar Hospital Pasteur Clínica Quirúrgica &#8220;1&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital del Círculo Católico de Obreros del Uruguay  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Facultad de Medicina, Udelar Hospital Pasteur Clínica Quirúrgica &#8220;1&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Facultad de Medicina, Udelar Hospital Pasteur Clínica Quirúrgica &#8220;1&#8221;]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12812025000101204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12812025000101204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12812025000101204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen   Introducción. Uruguay, tiene una baja demografía, por lo que existe un bajo número de patología quirúrgica compleja por cada centro de salud.  Objetivo. Evaluar los resultados de la duodeno-pancreatectomía (DP) realizada por un equipo de bajo volumen según los indicadores y estándares de calidad aceptados internacionalmente.  Métodos . Estudio retrospectivo, sobre una base de datos prospectiva, incluyendo casos consecutivos de DP por tumores periampulares realizadas por un mismo equipo quirúrgico, en un período de 4,5 años. Se analizaron los resultados según los principales estándares de calidad en cirugía pancreática.  Resultados. Se incluyeron 24 casos (5,3 DP anuales); de los cuales 2 pacientes recibieron neoadyuvancia. La mediana de tiempo quirúrgico fue de 7,1 horas. Para el adenocarcinoma pancreático (n=15), según la definición actual la resección R1 (&#8804; 1 mm) se dio en 6 casos. Para el resto de los tumores periampulares (n=9) los márgenes de resección estuvieron libres (sin contacto microscópico) en todos los casos. La cosecha ganglionar tuvo una mediana de 14,5 ganglios. Fueron 12 pacientes quienes presentaron complicaciones postoperatorias leves - moderadas, solo en un caso hubo una complicación grave y 2 casos requirieron una reintervención. La fístula pancreática clínicamente relevante se presentó en 4 casos. La mortalidad a 30 días fue nula.  Conclusión. Nuestra experiencia demuestra que los estándares de calidad para la DP pueden ser alcanzados por un equipo de bajo volumen, siempre y cuando este tenga una adecuada formación y se desempeñe en un centro de alta complejidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract   Introduction . Uruguay, has a low demographics, so there is a low number of complex surgical pathologies for each health center.  Objective . To evaluate the results of duodenum-pancreatectomy (DP) performed by a low-volume team according to internationally accepted quality indicators and standards. Methods. Retrospective study, based on prospective data, including consecutive cases of DP due to periampullary tumors performed by the same surgical team, over a period of 4.5 years. The results were analyzed according to the main quality standards in pancreatic surgery.  Results . A total of 24 cases (5.3 PD per year) were included. Two patients received neoadjuvant treatement. The median surgical time was 7.1 hours. For pancreatic adenocarcinoma (n=15), according to the current definition, R1 resection (&#8804; 1 mm) occurred in 6 cases. For the rest of the periampullary tumors (n=9), the margins of resection were free (without microscopic contact) in all cases. The lymph node harvest had a median of 14.5 nodes. Twelve patients had mild to moderate postoperative complications, only in 1 case there was a serious complication. Two cases required reoperation. Clinically relevant pancreatic fistula occurred in 4 cases. Mortality at 30 days was zero.  Conclusion . Our experience shows that quality standards for PD can be achieved by a low-volume team, as long as it has adequate training and works in a high-complexity center.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo   Introdução.  Uruguai, tem uma demografia baixa, de modo que há um baixo número de patologias cirúrgicas complexas para cada centro de saúde.  Objetivo . Avaliar os resultados da duopancreatectomia (DP) realizada por uma equipe de baixo volume de acordo com indicadores e padrões de qualidade internacionalmente aceitos.  Métodos . Estudo retrospectivo, baseado em dados prospectivos, incluindo casos consecutivos de DP por tumores periampulares realizados pela mesma equipe cirúrgica, em um período de 4,5 anos. Os resultados foram analisados de acordo com os principais padrões de qualidade em cirurgia pancreática.  Resultados . Foram incluídos 24 casos (5,3 DP por ano). Dois pacientes receberam neoadjuvante. A mediana do tempo cirúrgico foi de 7,1 horas. Para adenocarcinoma de pâncreas (n=15), de acordo com a definição atual, a ressecção R1 (&#8804; 1 mm) ocorreu em 6 casos. Para o restante dos tumores periampulares (n=9), as margens de ressecção estavam livres (sem contato microscópico) em todos os casos. A coleta de linfonodos apresentou mediana de 14,5 linfonodos. Doze pacientes apresentaram complicações pós-operatórias leves a moderadas, apenas em 1 caso houve complicação grave. Dois casos necessitaram de reoperação. Fístula pancreática clinicamente relevante ocorreu em 4 casos. A mortalidade aos 30 dias foi nula.  Conclusão . Nossa experiência mostra que os padrões de qualidade em DP podem ser alcançados por uma equipe de baixo volume, desde que tenha treinamento adequado e trabalhe em um centro de alta complexidade.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[duodeno-pancreatectomía]]></kwd>
<kwd lng="es"><![CDATA[volumen quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[estándares de calidad]]></kwd>
<kwd lng="en"><![CDATA[duodenum-pancreatectomy]]></kwd>
<kwd lng="en"><![CDATA[surgical volume]]></kwd>
<kwd lng="en"><![CDATA[quality standards]]></kwd>
<kwd lng="pt"><![CDATA[duodenopancreatectomia]]></kwd>
<kwd lng="pt"><![CDATA[volume cirúrgico]]></kwd>
<kwd lng="pt"><![CDATA[padrões de qualidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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