{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T09:12:24Z","timestamp":1775898744943,"version":"3.50.1"},"reference-count":39,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["surgjournal.com","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2016,11]]},"DOI":"10.1016\/j.surg.2016.05.046","type":"journal-article","created":{"date-parts":[[2016,8,4]],"date-time":"2016-08-04T13:30:36Z","timestamp":1470317436000},"page":"1271-1278","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Impact of obesity on surgical outcomes of laparoscopic distal pancreatectomy: A Norwegian single-center study"],"prefix":"10.1016","volume":"160","author":[{"given":"Mushegh A.","family":"Sahakyan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e5rd Ingvald","family":"R\u00f8sok","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Airazat M.","family":"Kazaryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonid","family":"Barkhatov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoran","family":"Lai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dyre","family":"Kleive","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dejan","family":"Ignjatovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Knut J\u00f8rgen","family":"Labori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f8rn","family":"Edwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2016.05.046_bib1","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1007\/s13679-015-0165-8","article-title":"Long-term outcomes of obesity surgery and implications for health system planning","volume":"4","author":"Hopkins","year":"2015","journal-title":"Curr Obses Rep"},{"key":"10.1016\/j.surg.2016.05.046_bib2","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1007\/s11605-011-1502-1","article-title":"Body mass index and outcomes from pancreatic resection: a review and meta-analysis","volume":"15","author":"Ramsey","year":"2011","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib3","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.amjsurg.2014.12.037","article-title":"Increasing body mass index portends abbreviated survival following pancreatoduodenectomy for pancreatic adenocarcinoma","volume":"209","author":"Mathur","year":"2015","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1007\/s11605-015-3060-4","article-title":"Obesity does not impact perioperative or postoperative outcomes in patients with inflammatory bowel disease","volume":"20","author":"Guardado","year":"2016","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib5","doi-asserted-by":"crossref","first-page":"2565","DOI":"10.1245\/s10434-009-0573-7","article-title":"The impact of obesity on outcomes following pancreatectomy for malignancy","volume":"16","author":"Benns","year":"2009","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2016.05.046_bib6","first-page":"468","article-title":"The impact of obesity on surgical outcome after pancreaticoduodenectomy","volume":"9","author":"Noun","year":"2008","journal-title":"JOP"},{"key":"10.1016\/j.surg.2016.05.046_bib7","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.jamcollsurg.2007.01.018","article-title":"Risk factors of pancreatic fistula and delayed gastric emptying after pancreaticoduodenectomy with pancreaticogastrostomy","volume":"204","author":"Lermite","year":"2007","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib8","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.jss.2011.03.048","article-title":"Obesity does not increase complications following pancreatic surgery","volume":"170","author":"Balentine","year":"2011","journal-title":"J\u00a0Surg Res"},{"key":"10.1016\/j.surg.2016.05.046_bib9","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.jamcollsurg.2008.10.019","article-title":"Impact of obesity on perioperative morbidity and mortality after pancreaticoduodenectomy","volume":"208","author":"Williams","year":"2009","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib10","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.surg.2004.06.063","article-title":"Risk factors for mortality and intra-abdominal morbidity after distal pancreatectomy","volume":"137","author":"Sledzianowski","year":"2005","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2016.05.046_bib11","doi-asserted-by":"crossref","first-page":"2825","DOI":"10.1245\/s10434-009-0597-z","article-title":"Laparoscopic left pancreatectomy: complication risk score correlates with morbidity and risk for pancreatic fistula","volume":"16","author":"Weber","year":"2009","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2016.05.046_bib12","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.surg.2014.06.081","article-title":"A\u00a0systematic review and meta-analysis of laparoscopic versus open distal pancreatectomy for benign and malignant lesions of the pancreas: it's time to randomize","volume":"157","author":"Mehrabi","year":"2015","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2016.05.046_bib13","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1111\/j.1477-2574.2012.00531.x","article-title":"A\u00a0systematic review and meta-analysis of studies comparing laparoscopic and open distal pancreatectomy","volume":"14","author":"Jin","year":"2012","journal-title":"HPB"},{"key":"10.1016\/j.surg.2016.05.046_bib14","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/j.surg.2011.12.016","article-title":"Laparoscopic resection of exocrine carcinoma in central and distal pancreas results in a high rate of radical resections and long postoperative survival","volume":"151","author":"Marangos","year":"2012","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2016.05.046_bib15","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1002\/bjs.7020","article-title":"Single-centre experience of laparoscopic pancreatic surgery","volume":"97","author":"Rosok","year":"2010","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib16","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00464-003-9007-y","article-title":"Laparoscopic resection of the pancreas: a feasibility study of the short-term outcome","volume":"18","author":"Edwin","year":"2004","journal-title":"Surg Endosc"},{"key":"10.1016\/j.surg.2016.05.046_bib17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.surg.2014.02.009","article-title":"Extended pancreatectomy in pancreatic ductal adenocarcinoma: definition and consensus of the International Study Group for Pancreatic Surgery (ISGPS)","volume":"156","author":"Hartwig","year":"2014","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2016.05.046_bib18","doi-asserted-by":"crossref","first-page":"625093","DOI":"10.1155\/2013\/625093","article-title":"Morbidity assessment in surgery: refinement proposal based on a concept of perioperative adverse events","volume":"2013","author":"Kazaryan","year":"2013","journal-title":"ISRN Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib19","first-page":"257","article-title":"Identification and reduction of surgical error using simulation. Minimally invasive therapy & allied technologies","volume":"14","author":"Satava","year":"2005","journal-title":"MITAT"},{"key":"10.1016\/j.surg.2016.05.046_bib20","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/SLA.0b013e3181afde41","article-title":"The accordion severity grading system of surgical complications","volume":"250","author":"Strasberg","year":"2009","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib21","doi-asserted-by":"crossref","first-page":"3409","DOI":"10.1007\/s00464-015-4623-x","article-title":"Laparoscopic distal pancreatectomy for pancreatic ductal adenocarcinoma: results of a multicenter cohort study on 196 patients","volume":"30","author":"Sahakyan","year":"2016","journal-title":"Surg Endosc"},{"key":"10.1016\/j.surg.2016.05.046_bib22","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.surg.2005.05.001","article-title":"Postoperative pancreatic fistula: an international study group (ISGPF) definition","volume":"138","author":"Bassi","year":"2005","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2016.05.046_bib23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s11605-015-2984-z","article-title":"After pancreatectomy, the \u201c90 days from surgery\u201d definition is superior to the \u201c30 days from discharge\u201d definition for capture of clinically relevant readmissions","volume":"20","author":"Mise","year":"2016","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib24","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1007\/s11605-008-0636-2","article-title":"Pancreatic fistula rates after 462 distal pancreatectomies: staplers do not decrease fistula rates","volume":"12","author":"Ferrone","year":"2008","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib25","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1097\/SLA.0b013e3182128869","article-title":"Laparoscopic versus open left pancreatectomy: can preoperative factors indicate the safer technique?","volume":"253","author":"Cho","year":"2011","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib26","doi-asserted-by":"crossref","first-page":"2908","DOI":"10.1245\/s10434-012-2301-y","article-title":"Impact of obesity and body fat distribution on survival after pancreaticoduodenectomy for pancreatic adenocarcinoma","volume":"19","author":"Gaujoux","year":"2012","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2016.05.046_bib27","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1007\/s11605-010-1201-3","article-title":"Impact of obesity on perioperative outcomes and survival following pancreaticoduodenectomy for pancreatic cancer: a large single-institution study","volume":"14","author":"Tsai","year":"2010","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib28","doi-asserted-by":"crossref","first-page":"2164","DOI":"10.1245\/s10434-008-9990-2","article-title":"Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery","volume":"15","author":"Mullen","year":"2008","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2016.05.046_bib29","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/s00268-009-0300-3","article-title":"Risk factors for clinical pancreatic fistula after distal pancreatectomy: analysis of consecutive 100 patients","volume":"34","author":"Yoshioka","year":"2010","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib30","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1002\/bjs.9708","article-title":"Distal pancreatectomy for pancreatic carcinoma in the era of multimodal treatment","volume":"102","author":"Paye","year":"2015","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib31","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1097\/01.CCM.0000114810.30477.C3","article-title":"Red blood cell transfusion and ventilator-associated pneumonia: a potential link?","volume":"32","author":"Shorr","year":"2004","journal-title":"Crit Care Med"},{"key":"10.1016\/j.surg.2016.05.046_bib32","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1053\/tmrv.2002.31463","article-title":"Possible mechanisms of allogeneic blood transfusion-associated postoperative infection","volume":"16","author":"Vamvakas","year":"2002","journal-title":"Transfus Med Rev"},{"key":"10.1016\/j.surg.2016.05.046_bib33","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1016\/j.jamcollsurg.2008.11.019","article-title":"Intraoperative transfusion of 1 U to 2 U packed red blood cells is associated with increased 30-day mortality, surgical-site infection, pneumonia, and sepsis in general surgery patients","volume":"208","author":"Bernard","year":"2009","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib34","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1007\/s11605-013-2169-6","article-title":"A\u00a0comprehensive assessment of transfusion in elective pancreatectomy: risk factors and complications","volume":"17","author":"Sun","year":"2013","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib35","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1111\/j.1477-2574.2011.00369.x","article-title":"Distal pancreatectomy with or without splenectomy: comparison of postoperative outcomes and surrogates of splenic function","volume":"13","author":"Tsiouris","year":"2011","journal-title":"HPB"},{"key":"10.1016\/j.surg.2016.05.046_bib36","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1097\/SLA.0b013e31814a6906","article-title":"Fatty pancreas: a factor in postoperative pancreatic fistula","volume":"246","author":"Mathur","year":"2007","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib37","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1038\/ctg.2014.5","article-title":"Association of pancreatic fatty infiltration with pancreatic ductal adenocarcinoma","volume":"5","author":"Hori","year":"2014","journal-title":"Clin Transl Gastroenterol"},{"key":"10.1016\/j.surg.2016.05.046_bib38","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1007\/s11605-009-0974-8","article-title":"The role of \u201cfatty pancreas\u201d and of BMI in the occurrence of pancreatic fistula after pancreaticoduodenectomy","volume":"13","author":"Rosso","year":"2009","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2016.05.046_bib39","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1001\/archsurg.2008.580","article-title":"Influence of obesity on cancer-related outcomes after pancreatectomy to treat pancreatic adenocarcinoma","volume":"144","author":"Fleming","year":"2009","journal-title":"Arch Surg"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606016302549?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606016302549?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,9]],"date-time":"2018-09-09T08:55:06Z","timestamp":1536483306000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606016302549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":39,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["S0039606016302549"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2016.05.046","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2016,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of obesity on surgical outcomes of laparoscopic distal pancreatectomy: A Norwegian single-center study","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2016.05.046","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}