Evidence map›Paper›PMID 42171713›Full record

ArticleSurgical endoscopy2026

Video-based assessment identifies intraoperative predictors of clinically relevant POPF following minimally invasive distal pancreatectomy.

Laleh Foroutani, Pietro Mascagni, Amir Ashraf Ganjouei, Nora Fotoohi, Eric K Nakakura, Carlos Corvera, Mohamed Abdelgadir Adam, Adnan A Alseidi

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Laleh ForoutaniDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-2818-8477
Pietro MascagniDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Amir Ashraf GanjoueiDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Nora FotoohiDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Eric K NakakuraDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Carlos CorveraDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA.
Mohamed Abdelgadir AdamDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA. Mohamed.Adam@ucsf.edu.
Adnan A AlseidiDepartment of Surgery, University of California, San Francisco, San Francisco, CA, USA. Adnan.Alseidi@ucsf.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinically relevant postoperative pancreatic fistula (CR-POPF) is the most consequential complication after distal pancreatectomy, occurring in up to one-third of cases. Video-based assessment (VBA) captures technical details not documented in operative reports. We conducted a VBA study to evaluate intraoperative factors associated with CR-POPF.

methodsWe performed a retrospective single-center study of adults undergoing laparoscopic or robotic distal pancreatectomy (2019-2024). Three blinded reviewers coded predefined intraoperative variables from operative videos during the pancreatic transection. Associations with CR-POPF were assessed using Firth penalized logistic regression.

resultsAmong 43 patients, 11 (25.6%) developed CR-POPF. Patients with CR-POPF were younger (median 46 vs. 59 years, p < 0.05) and more often non-white (27% vs. 63%, p < 0.05). Intraoperatively, coarse stapler movement (73% vs. 25%, p < 0.05) and capsular fracture (73% vs. 19%, p < 0.05) were significantly associated with CR-POPF. Rotational movement, short compression time, and stapler line bleeding trended toward significance. Clip application for hemostasis showed a non-significant protective effect. On regression analysis, capsular fracture predicted CR-POPF (OR = 6.47, p = 0.03), and coarse stapler movement trended toward significance (OR = 9.22, p = 0.06).

conclusionVBA identified capsular fracture as a significant predictor of CR-POPF and stapler movement as a modifiable factor. Larger multicenter studies are warranted to validate findings and guide technical training.

Indexed as

LaparoscopyPancreatectomyPancreatic FistulaPostoperative ComplicationsVideo RecordingAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRobotic Surgical ProceduresDistal pancreatectomyMinimally invasive surgeryPostoperative pancreatic fistulaVideo-based assessment

Identifiers

PMID42171713

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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.