ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019
Visceral Obesity and Open Passive Drainage Increase the Risk of Pancreatic Fistula Following Distal Pancreatectomy.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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19 citing papers in PubMed, 39 citations in OpenAlex.
- Preoperative Glucagon-Like Peptide-1 Receptor Agonist Treatment to Allow Safe Laparoscopic Left Pancreatectomy in Extreme Obesity: The First Report.Case reports in surgery · 2026Article
- Impact of visceral fat area on surgical difficulty during robotic distal pancreatectomy (TAKUMI-2).Surgical endoscopy · 2025Article
- Advancements in postoperative pancreatic fistula: a comprehensive review of predictive factors, therapies, scoring systems and ongoing trials.eGastroenterology · 2025Review
- Preoperative CT image analysis to improve risk stratification for clinically relevant pancreatic fistula after distal pancreatectomy.The British journal of surgery · 2023Article
- Clinical characteristics and predictive factors of postoperative intra-abdominal abscess after distal pancreatectomy.Langenbeck's archives of surgery · 2023Article
- Article
- Comparison of the complications of passive drainage and active suction drainage after pancreatectomy: A meta-analysis.Frontiers in surgery · 2023Review
- Sarcopenia and Risk of Pancreatic Fistula after Pancreatic Surgery: A Systematic Review.Journal of clinical medicine · 2022Review
- Predictors of postoperative pancreatic fistula after splenectomy with or without distal pancreatectomy performed as a component of cytoreductive surgery for advanced ovarian cancer.Journal of gynecologic oncology · 2022Article
- Preoperative neutrophil-to-lymphocyte ratio predicts healing time for postoperative pancreatic fistula after distal pancreatectomy.Annals of gastroenterological surgery · 2022Article
- Short internal pancreatic stent reduces pancreatic fistula in pancreatoduodenectomy.Langenbeck's archives of surgery · 2021Article
- Passive Versus Active Intra-Abdominal Drainage Following Pancreaticoduodenectomy: A Retrospective Study Using The American College of Surgeons NSQIP Database.World journal of surgery · 2021Article
- Pancreatic Fat and Body Composition Measurements by Computed Tomography are Associated with Pancreatic Fistula After Pancreatectomy.Annals of surgical oncology · 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
- Predictive Factors Associated with Complications after Laparoscopic Distal Pancreatectomy.Journal of clinical medicine · 2020Article
- Prospective study on predictability of complications by pancreatic surgeons.Langenbeck's archives of surgery · 2020Observational
- Albumin difference as a new predictor of pancreatic fistula following distal pancreatectomy: a retrospective study of 211 consecutive patients.Langenbeck's archives of surgery · 2020Article
- The influence of nutritional status on the incidence of postoperative complications in patients following distal pancreatectomy.Przeglad gastroenterologiczny · 2020Article
- The Effect of Body Mass Index on Patients' Outcomes Following Robotic Distal Pancreatectomy and Splenectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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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
backgroundThe predictive risk factors of clinically relevant pancreatic fistula (CR-PF) following distal pancreatectomy (DP) remain to be identified.
methodsThis is a retrospective cohort analysis of a single-institution database of patients undergoing DP, taking into account usual demographic, operative, and pathologic variables and visceral fat area (VFA), total muscle area (TMA), and surface muscle index (SMI) measured on preoperative CT scan. The primary end point was CR-PF. All variables associated with a p value < 0.05 on univariate analysis were included in a logistic regression model for multivariate analysis.
resultsFrom 2012 to 2016, 208 patients operated by 4 pancreatic surgeons underwent DP including 32 (15%) who developed CR-PF. Risk factors of CR-PF on univariate analysis were: BMI ≥ 25 kg/m
conclusionsVisceral obesity, blood loss ≥ 225 ml and open passive drainage significantly increase the risk of CR-PF following DP.
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