• Guoli Chen, Zhifang Zheng, Haizhao Yi, Qiuju Yue, and Lijie Li.
• Department of General Surgery 1, The Affiliated Hospital of Chengde Medical University, Chengde, Hebei, China.
• Medicine (Baltimore). 2023 May 19; 102 (20): e33759e33759.

AbstractThis study aimed to explore the risk factors of clinically relevant pancreatic fistulas (PF) after laparoscopic pancreaticoduodenectomy (LPD). The clinical data of 80 patients who underwent pancreaticoduodenectomy in our hospital were retrospectively analyzed. The potential risk factors for PF after LPD were determined using univariate and multivariate logistic regression analyses. Results from the univariate analyses showed that the pancreatic duct diameter (P < .001), pancreatic texture (P < .001), abdominal infection (P = .002), and reoperation (P < .001) were associated with clinically relevant PF. Results from the multivariate logistic regression analysis showed that the pancreatic duct diameter (P = .002) and pancreatic texture (P = .016) were significant risk factors for clinically relevant PF. Based on this study, the pancreatic duct diameter and pancreatic texture are independent risk factors for clinically relevant PF after LPD.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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