Classification of postoperative pancreatic fistula after left pancreatectomy: international multicentre cohort study.

ABSTRACT:

Background

Postoperative pancreatic fistula (POPF) is a major complication after left pancreatectomy. The current International Study Group of Pancreatic Surgery classification has limitations, including heterogeneity in morbidity and high interobserver variability. This study aimed to assess POPF-related morbidity after left pancreatectomy and propose a refined classification system.

Methods

Patients undergoing left pancreatectomy at nine high-volume centres between January 2010 and April 2023 were included. All postoperative treatments and interventions related to POPF were collected. The Comprehensive Complication Index (CCI) was used to assess total cumulative morbidity. The International Study Group of Pancreatic Surgery B POPF was subclassified (B1 = prolonged drainage

SUBMITTER: Bonsdorff A 

PROVIDER: S-EPMC12673845 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature