• Hironori Hayashi, Koji Amaya, Yuta Fujiwara, Ryutaro Tokai, Yuya Sugimoto, Yu Hashimoto, Makoto Nakura, Shunsuke Kawai, Takahisa Yamaguchi, Atsushi Hirose, Toshifumi Watanabe, Tomoya Tsukada, Masahide Kaji, Kiichi Maeda, and Koichi Shimizu.
• Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishi-nagae, Toyama, 930-8550, Japan. Electronic address: pwrofdrms2000@gmail.com.
• Asian J Surg. 2021 Jan 1; 44 (1): 143-146.

BackgroundPostoperative pancreatic fistula (POPF) after pancreatoduodenectomy greatly influences patients' postoperative course. Several evaluation methods have been used to assess the risk of clinically relevant POPF (CR-POPF) after pancreatoduodenectomy namely, the original, alternative, and updated alternative fistula risk scores (o-FRS, a-FRS, and ua-FRS, respectively).MethodsWe enrolled 106/179 patients who underwent pancreatoduodenectomy in our institution between April 2013 and Mar 2018. CR-POPF was defined as grade B and C POPF according to the 2016 definitions of the International Study Group on Pancreatic Surgery.ResultsPancreatic gland texture was the only significant risk factor for CR-POPF (p = 0.007). The CR-POPF incidence increased significantly according to the risk groups defined by both o-FRS (p = 0.004) and a-FRS (p = 0.004). The area under the curve for o-FRS, a-FRS, and ua-FRS was 0.693, 0.693, and 0.671, respectively.Conclusiono-FRS, a-FRS, and ua-FRS were almost equally useful for risk evaluation for CR-POPF after pancreatoduodenectomy. Further studies, especially for preoperative objective evaluation of pancreatic gland texture, are needed for more useful and accurate risk evaluation.Copyright © 2020. Published by Elsevier Taiwan LLC.

27 keywords...

hide…