Observational studySurgery today2017
A novel preoperative predictor of pancreatic fistula using computed tomography after distal pancreatectomy with staple closure.
Observational study in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 31 citations in OpenAlex.
- Developing a predictive model for healing of clinically relevant pancreatic fistulas post-pancreatoduodenectomy based on clinical and imaging nutritional status.Japanese journal of radiology · 2025Article
- Development and validation of a nomogram based on preoperative factors for predicting clinically relevant postoperative pancreatic fistula following pancreaticoduodenectomy.Gland surgery · 2025Article
- Development and external validation of DISPAIR fistula risk score for clinically relevant postoperative pancreatic fistula risk after distal pancreatectomy.The British journal of surgery · 2022Article
- Article
- Postoperative Outcome of Surgery with Pancreatic Resection for Retroperitoneal Soft Tissue Sarcoma: Results of a Retrospective Bicentric Analysis on 50 Consecutive Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Innovative Pancreas Ligation Band for Distal Pancreatectomy: A Pilot In Vivo Porcine Study.Cureus · 2021Article
- Irrigation and passive drainage of pancreatic stump after distal pancreatectomy in high-risk patients: an innovative approach to reduce pancreatic fistula.Langenbeck's archives of surgery · 2020Article
- Stapler sizes optimized for pancreatic thickness can reduce pancreatic fistula incidence after distal pancreatectomy.Surgery today · 2020Article
- Prevention and treatment of pancreatic fistula after pancreatic body and tail resection: current status and future directions.Frontiers of medicine · 2020Review
- Risk factors of postoperative pancreatic fistula after distal pancreatectomy using a triple-row stapler.Surgery today · 2018Article
- Expression of podoplanin in stromal fibroblasts plays a pivotal role in the prognosis of patients with pancreatic cancer.Surgery today · 2018Article
- LINE-1 methylation level and prognosis in pancreas cancer: pyrosequencing technology and literature review.Surgery today · 2017Review
- Senior general surgery residents can be trained to perform focused assessment with sonography for trauma patients accurately.Surgery today · 2017Article
- Predictive risk factors for peritoneal recurrence after pancreatic cancer resection and strategies for its prevention.Surgery today · 2017Article
- Amylase concentration in drainage fluid as a predictive factor for severe postoperative pancreatic fistula in patients with gastric cancer.Surgery today · 2017Article
- The basal nutritional state of PDAC patients is the dominant factor for completing adjuvant chemotherapy.Surgery today · 2017Article
- Novel intraoperative use of the "Tensipresser" to assess factors predictive of pancreatic fistula after pancreaticoduodenectomy.Surgery today · 2017Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA thick pancreas has proven to be a conspicuous predictor of pancreatic fistula (PF) following distal pancreatectomy (DP) using staples. Other predictors for this serious surgical complication currently remain obscure. This study sought to identify novel predictors of PF following DP.
methodsOne hundred and twenty-two patients were retrospectively assessed to determine the correlation between PF occurrence and the clinicopathological findings and radiologic data from preoperative computed tomography (CT). CT assessments included the thickness of the pancreas (TP) and pancreatic CT number (pancreatic index; PI), calculated by dividing the pancreatic CT by the splenic CT density.
resultsTwenty-four patients (19.7%) developed a clinically relevant PF. TP was identified as an independent risk factor for PF in multivariate analyses (odds ratio 1.17; P = 0.0095). In subgroup analyses, a lower PI in a thick pancreas was a significant predictor of PF (P = 0.032). The combination of these two prediction parameters, known as the TP-to-PI ratio (TPIR), showed a significantly better prediction ability than TP alone (area under the receiver operating characteristic curve for the incidence of PF, TPIR 0.80 vs. TP 0.69; P = 0.037).
conclusionCombining the CT number with TP substantially improves the prediction ability for the incidence of PF following DP with staple use.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.