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- W4246960219 abstract "Background: Preoperative prediction of Postoperative Pancreatic Fistula (POPF) may provide opportunities for individualization in the selection of patients for pancreatoduodenectomy (PD) and their postoperative management. The aim of this study was to evaluate the clinical value of four predictive scores to estimate the risk of POPF in patients undergoing PD. Methods: Four different risk scores were calculated from a retrospective review of 64 patients with pancreatic and periampullary tumors undergoing PD from January 2007 to December 2013. POPF was graded using International Study Group of Pancreatic Fistula criteria (ISGPF). Grade B and C leaks were defined as clinically significant. Patients were stratified into risk categories based on the point totals as per the risk score. Results: Grade A fistula occurred in 8 (12,5%) patients, grade B in 12 (18,8%), and grade C in 7 (10,9%). The risk of POPF increased as the risk score increased. The four scores predicted POPF with a higher predictive score associated with increasing risk of POPF: Score 1 (Roberts): P=0,035; Score 2 (Callery): P<0,001; Score 3 (Yamamoto): P=0,033 y Score 4 (Wellner): P=0,029. Conclusion: The use of four specific risk scores predicted POPF in our study. An ideal predictive risk score should be easy, accurate and objective and might enable the clinician to adjust surgical management according to POPF risk. Further studies are needed to confirm the findings of this study." @default.
- W4246960219 created "2022-05-12" @default.
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- W4246960219 date "2019-01-01" @default.
- W4246960219 modified "2023-09-27" @default.
- W4246960219 title "Preoperative predictive risk scores of pancreatic fistula following pancreatoduodenectomy" @default.
- W4246960219 doi "https://doi.org/10.1016/j.hpb.2019.10.656" @default.
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