ArticleAnnals of gastroenterological surgery2026
Preoperative Aortic Calcification Volume Predicts Postoperative Complications in Nonpancreatic Cancer Patients Undergoing Pancreaticoduodenectomy.
Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Abdominal vascular calcification at CT: opportunistic quantification and imaging-based risk stratification.Abdominal radiology (New York) · 2026Review
- Correction to "Preoperative Aortic Calcification Volume Predicts Postoperative Complications in Nonpancreatic Cancer Patients Undergoing Pancreaticoduodenectomy".Annals of gastroenterological surgery · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background/Objectives: Postoperative complications following pancreaticoduodenectomy (PD) remain high, particularly in patients with soft pancreatic texture. Abdominal aortic calcification volume (AACV), a surrogate marker of systemic arteriosclerosis, has been associated with increased surgical risk in lower gastrointestinal procedures; however, its relevance in hepatopancreatobiliary surgery has not been well established. This study aimed to evaluate the clinical significance of AACV in predicting postoperative complications after PD. Methods: We retrospectively analyzed 182 patients who underwent PD for nonpancreatic malignancies at our institution between January 2007 and December 2023. AACV was measured using the SYNAPSE VINCENT 3D imaging system, assessing calcification from the renal artery to the common iliac artery bifurcations on preoperative CT. Clinical characteristics and short-term postoperative outcomes were evaluated. Results: The cohort included distal cholangiocarcinoma (57.1%), papillary carcinoma (35.7%), duodenal cancer (2.7%), IPMN (2.2%), and pancreatic neuroendocrine tumors (1.6%). Soft pancreatic texture was observed in 85.2% of patients. The median AACV was 894.5 mm Conclusion: AACV is significantly associated with severe postoperative complications and clinically relevant pancreatic fistula following PD, particularly in patients with nonpancreatic malignancies. It may serve as a valuable preoperative risk predictor in this population.
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