{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T23:06:40Z","timestamp":1779577600888,"version":"3.53.1"},"reference-count":33,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2024NSFSC0742"],"award-info":[{"award-number":["2024NSFSC0742"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2024NSFSC1949"],"award-info":[{"award-number":["2024NSFSC1949"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004912","name":"Sichuan University","doi-asserted-by":"publisher","award":["ZYJC21046"],"award-info":[{"award-number":["ZYJC21046"]}],"id":[{"id":"10.13039\/501100004912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004912","name":"Sichuan University","doi-asserted-by":"publisher","award":["2022CDSN-18"],"award-info":[{"award-number":["2022CDSN-18"]}],"id":[{"id":"10.13039\/501100004912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013365","name":"West China Hospital, Sichuan University","doi-asserted-by":"publisher","award":["2021HXFH001"],"award-info":[{"award-number":["2021HXFH001"]}],"id":[{"id":"10.13039\/501100013365","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.ejso.2026.111780","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T08:01:51Z","timestamp":1775030511000},"page":"111780","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Construction and validation of a prediction model for textbook outcome in distal cholangiocarcinoma undergoing pancreaticoduodenectomy based on six machine learning algorithms"],"prefix":"10.1016","volume":"52","author":[{"given":"Si-qi","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-long","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui-qi","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai-jie","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-wen","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5257-9614","authenticated-orcid":false,"given":"Fu-yu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.ejso.2026.111780_bib1","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/MEG.0000000000001337","article-title":"Epidemiology of intrahepatic, perihilar, and distal cholangiocarcinoma in the French population","volume":"31","author":"Al","year":"2019","journal-title":"Eur J Gastroenterol Hepatol"},{"issue":"Suppl 1","key":"10.1016\/j.ejso.2026.111780_bib2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/liv.14086","article-title":"Clinical presentation, diagnosis and staging of cholangiocarcinoma","volume":"39","author":"Forner","year":"2019","journal-title":"Liver Int : Off J Int Assoc Study Liver"},{"issue":"7","key":"10.1016\/j.ejso.2026.111780_bib3","first-page":"1048","article-title":"Treatment and survival of resected and unresected distal cholangiocarcinoma: a nationwide study","volume":"58","author":"Strijker","year":"2019"},{"issue":"7","key":"10.1016\/j.ejso.2026.111780_bib4","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1080\/0284186X.2019.1590634","article-title":"Treatment and survival of resected and unresected distal cholangiocarcinoma: a nationwide study","volume":"58","author":"Strijker","year":"2019","journal-title":"Acta oncologica (Stockholm, Sweden)"},{"issue":"4","key":"10.1016\/j.ejso.2026.111780_bib5","doi-asserted-by":"crossref","first-page":"e864","DOI":"10.1097\/SLA.0000000000005160","article-title":"Perioperative and oncological outcomes of robotic versus open pancreaticoduodenectomy in low-risk surgical candidates: a multicenter propensity score-matched study","volume":"277","author":"Liu","year":"2023","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.ejso.2026.111780_bib6","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1097\/SLA.0000000000000263","article-title":"A pancreaticoduodenectomy risk model derived from 8575 cases from a national single-race population (Japanese) using a web-based data entry system: the 30-day and in-hospital mortality rates for pancreaticoduodenectomy","volume":"259","author":"Kimura","year":"2014","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.ejso.2026.111780_bib7","doi-asserted-by":"crossref","first-page":"3093","DOI":"10.1097\/JS9.0000000000002299","article-title":"Risk factors of failure to achieve textbook outcome in patients after pancreatoduodenectomy: a systematic review and meta-analysis","volume":"111","author":"Yuan","year":"2025","journal-title":"Int J Surg"},{"issue":"7","key":"10.1016\/j.ejso.2026.111780_bib8","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1007\/s00268-023-06974-x","article-title":"Predictors and prognostic significance of postoperative complications for patients with intrahepatic cholangiocarcinoma","volume":"47","author":"Endo","year":"2023","journal-title":"World J Surg"},{"issue":"10","key":"10.1016\/j.ejso.2026.111780_bib9","doi-asserted-by":"crossref","first-page":"2259","DOI":"10.4240\/wjgs.v15.i10.2259","article-title":"Analysis of textbook outcomes for ampullary carcinoma patients following pancreaticoduodenectomy","volume":"15","author":"Zhang","year":"2023","journal-title":"World J Gastrointest Surg"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib10","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/SLA.0000000000003451","article-title":"Textbook outcome: nationwide analysis of a novel quality measure in pancreatic surgery","volume":"271","author":"van Roessel","year":"2020","journal-title":"Ann Surg"},{"issue":"8","key":"10.1016\/j.ejso.2026.111780_bib11","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1016\/j.dld.2024.04.016","article-title":"Textbook outcome of laparoscopic hepatectomy in the context of precision surgery: a single center experience","volume":"56","author":"Xu","year":"2024","journal-title":"Dig Liver Dis : Off J Italian Soc Gastroenterol Italian Assoc Study Liver"},{"issue":"7","key":"10.1016\/j.ejso.2026.111780_bib12","doi-asserted-by":"crossref","DOI":"10.1002\/cam4.7186","article-title":"Novel definition of textbook outcome in biliary system cancers and its influence on patients' survival and quality of life","volume":"13","author":"Atyah","year":"2024","journal-title":"Cancer Med"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib13","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1186\/s12885-023-11695-4","article-title":"Evaluation of optimum classification measures used to define textbook outcome among patients undergoing curative-intent resection of gastric cancer","volume":"23","author":"Bobrzynski","year":"2023","journal-title":"BMC Cancer"},{"issue":"14","key":"10.1016\/j.ejso.2026.111780_bib14","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1056\/NEJMra1814259","article-title":"Machine learning in medicine","volume":"380","author":"Rajkomar","year":"2019","journal-title":"N Engl J Med"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib15","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1038\/s41580-021-00407-0","article-title":"A guide to machine learning for biologists","volume":"23","author":"Greener","year":"2022","journal-title":"Nat Rev Mol Cell Biol"},{"issue":"3","key":"10.1016\/j.ejso.2026.111780_bib16","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/JS9.0000000000000303","article-title":"Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study","volume":"109","author":"Wu","year":"2023","journal-title":"Int J Surg"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib17","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1186\/s12893-024-02529-6","article-title":"Risk factors of textbook outcome in laparoscopic pancreatoduodenectomy: results from a prospective high-volume center study","volume":"24","author":"Cai","year":"2024","journal-title":"BMC Surg"},{"key":"10.1016\/j.ejso.2026.111780_bib18","doi-asserted-by":"crossref","first-page":"38","DOI":"10.21037\/tgh-23-112","article-title":"Association of textbook outcomes with improved survival in pancreatic ductal adenocarcinoma following pancreaticoduodenectomy: a retrospective study","volume":"9","author":"Wang","year":"2024","journal-title":"Transl Gastroenterol Hepatol"},{"key":"10.1016\/j.ejso.2026.111780_bib31","doi-asserted-by":"crossref","unstructured":"Wu Y., Peng B., Liu J., Yin X., Tan Z., Liu R., Hong D., Zhao W., Wu H., Chen R., Li D., Huang H., Miao Y., Liu Y., Liang T., Wang W., Yuan J., Li S., Zhang H., Wang M., Qin R.; Minimally Invasive Treatment Group in the Pancreatic DiseaseBranch of China\u2019s International Exchange and Promotion Association for Medicine and Healthcare (MITG-P-CPAM). Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study. Int J Surg Mar 1 2023;109(3):374-382. doi: 10.1097\/JS9.0000000000000303. PMID: 36912568; PMCID: PMC10389643.","DOI":"10.1097\/JS9.0000000000000303"},{"key":"10.1016\/j.ejso.2026.111780_bib32","doi-asserted-by":"crossref","unstructured":"Wang H., Hu X., Yin C., Zhou D., Li Z., Ma Z., Zhang H. Association of textbook outcomes with improved survival in pancreatic ductal adenocarcinoma following pancreaticoduodenectomy: a retrospective study. Transl Gastroenterol Hepatol Jul 11 2024;9:38. doi: 10.21037\/tgh-23-112. PMID: 39091654; PMCID: PMC11292086.","DOI":"10.21037\/tgh-23-112"},{"key":"10.1016\/j.ejso.2026.111780_bib33","doi-asserted-by":"crossref","unstructured":"Mocchegiani F., Benedetti Cacciaguerra A., Wakabayashi T., Valeriani F., Vincenzi P., Gaudenzi F., Nicolini D., Wakabayashi G., Vivarelli M. Textbook outcome following pancreaticoduodenectomy in elderly patients: age-stratified analysis and predictive factors. Updates Surg Sep 2025;77(5):1501-1511. doi: 10.1007\/s13304-025-02130-3. Epub 2025 Feb 19. PMID: 39969770; PMCID: PMC12420695.","DOI":"10.1007\/s13304-025-02130-3"},{"issue":"5","key":"10.1016\/j.ejso.2026.111780_bib19","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1007\/s13304-025-02130-3","article-title":"Textbook outcome following pancreaticoduodenectomy in elderly patients: age-stratified analysis and predictive factors","volume":"77","author":"Mocchegiani","year":"2025","journal-title":"Updates Surg"},{"key":"10.1016\/j.ejso.2026.111780_bib20","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.ijsu.2019.09.030","article-title":"Postoperative outcomes in elderly patients undergoing pancreatic resection for pancreatic adenocarcinoma: a systematic review and meta-analysis","volume":"72","author":"Tan","year":"2019","journal-title":"Int J Surg"},{"issue":"4","key":"10.1016\/j.ejso.2026.111780_bib21","first-page":"362","article-title":"Neutrophil-to-lymphocyte ratio as a predictor of postoperative morbidity in patients with distal cholangiocarcinoma","volume":"9","author":"Kumamoto","year":"2018","journal-title":"Mol Clin Oncol"},{"issue":"5","key":"10.1016\/j.ejso.2026.111780_bib22","first-page":"2407","article-title":"Surgical results of pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: a multi-institutional retrospective study of 174 patients","volume":"36","author":"Yamashita","year":"2016","journal-title":"Anticancer Res"},{"issue":"3","key":"10.1016\/j.ejso.2026.111780_bib23","doi-asserted-by":"crossref","first-page":"2062","DOI":"10.1007\/s00464-025-11584-w","article-title":"Comparison of laparoscopic and open pancreaticoduodenectomy for distal cholangiocarcinoma and impact factors on textbook outcome","volume":"39","author":"Gao","year":"2025","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ejso.2026.111780_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejrad.2024.111896","article-title":"An MRI-based radiomics model for preoperative prediction of microvascular invasion and outcome in intrahepatic cholangiocarcinoma","volume":"183","author":"Miao","year":"2025","journal-title":"Eur J Radiol"},{"issue":"6","key":"10.1016\/j.ejso.2026.111780_bib25","doi-asserted-by":"crossref","first-page":"535","DOI":"10.5582\/bst.2024.01282","article-title":"Development and validation of a machine-learning model to predict lymph node metastasis of intrahepatic cholangiocarcinoma: a retrospective cohort study","volume":"18","author":"Mi","year":"2025","journal-title":"Biosci Trends"},{"issue":"5","key":"10.1016\/j.ejso.2026.111780_bib26","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1136\/gutjnl-2020-321799","article-title":"Development and validation of a model to predict survival in colorectal cancer using a gradient-boosted machine","volume":"70","author":"Bibault","year":"2021","journal-title":"Gut"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib27","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/hep.30085","article-title":"Primary sclerosing cholangitis risk estimate tool (PREsTo) predicts outcomes of the disease: a derivation and validation study using machine learning","volume":"71","author":"Eaton","year":"2020","journal-title":"Hepatology"},{"issue":"1","key":"10.1016\/j.ejso.2026.111780_bib28","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1186\/s12885-022-09352-3","article-title":"Development and validation of a gradient boosting machine to predict prognosis after liver resection for intrahepatic cholangiocarcinoma","volume":"22","author":"Ji","year":"2022","journal-title":"BMC Cancer"},{"key":"10.1016\/j.ejso.2026.111780_bib29","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2025.103438","article-title":"Development and validation of an interpretable multi-task model to predict outcomes in patients with rhabdomyolysis: a multicenter retrospective cohort study","volume":"87","author":"Liu","year":"2025","journal-title":"eClinicalMedicine"},{"issue":"21","key":"10.1016\/j.ejso.2026.111780_bib30","doi-asserted-by":"crossref","DOI":"10.3748\/wjg.v31.i21.106808","article-title":"Outcome prediction for cholangiocarcinoma prognosis: embracing the machine learning era","volume":"31","author":"Morales-Galicia","year":"2025","journal-title":"World J Gastroenterol"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326003999?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326003999?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T22:59:56Z","timestamp":1779577196000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0748798326003999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S0748798326003999"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111780","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Construction and validation of a prediction model for textbook outcome in distal cholangiocarcinoma undergoing pancreaticoduodenectomy based on six machine learning algorithms","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2026.111780","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111780"}}