{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T15:59:08Z","timestamp":1785167948353,"version":"3.55.0"},"reference-count":67,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","surgjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgery"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1016\/j.surg.2020.11.033","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T16:20:21Z","timestamp":1609431621000},"page":"1471-1479","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["A deep pancreas is a novel predictor of pancreatic fistula after pancreaticoduodenectomy in patients with a nondilated main pancreatic duct"],"prefix":"10.1016","volume":"169","author":[{"given":"Masahiro","family":"Iseki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Noda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiaki","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7555-1654","authenticated-orcid":false,"given":"Takaharu","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhei","family":"Endo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3437-6818","authenticated-orcid":false,"given":"Hidetoshi","family":"Aizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Ichida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Kakizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiki","family":"Rikiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2020.11.033_bib1","article-title":"The improvement in post-operative mortality following pancreaticoduodenectomy between 2006 and 2016 is associated with an improvement in the ability to rescue patients after major morbidity, not in the rate of major morbidity [e-pub ahead of print]","author":"Pastrana Del Valle","year":"2020","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib2","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000006858","article-title":"Pancreatoduodenectomy (PD) and postoperative pancreatic fistula (POPF): A systematic review and analysis of the POPF-related mortality rate in 60,739 patients retrieved from the English literature published between 1990 and 2015","volume":"96","author":"Pedrazzoli","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.surg.2020.11.033_bib3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1002\/jhbp.438","article-title":"Risk factors of serious postoperative complications after pancreaticoduodenectomy and risk calculators for predicting postoperative complications: a nationwide study of 17,564 patients in Japan","volume":"24","author":"Aoki","year":"2017","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2020.11.033_bib4","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1097\/SLA.0000000000000263","article-title":"A\u00a0pancreaticoduodenectomy 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"},{"key":"10.1016\/j.surg.2020.11.033_bib5","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"and the International Study Group on Pancreatic Surgery (ISGPS). The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after","volume":"161","author":"Bassi","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2020.11.033_bib6","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/j.surg.2016.11.021","article-title":"and the International Study Group on Pancreatic Surgery (ISGPS). Pancreatic anastomosis after pancreatoduodenectomy: a position statement by the International Study Group of Pancreatic Surgery (ISGPS)","volume":"16","author":"Shrikhande","year":"2017","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2020.11.033_bib7","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.surg.2011.09.039","article-title":"Evaluation of the International Study Group of Pancreatic Surgery definition of post-pancreatectomy hemorrhage in a high-volume center","volume":"151","author":"Gr\u00fctzmann","year":"2012","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2020.11.033_bib8","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1016\/j.hpb.2018.04.003","article-title":"Systematic review and meta-analysis of postoperative pancreatic fistula rates using the updated 2016 International Study Group Pancreatic Fistula definition in patients undergoing pancreatic resection with soft and hard pancreatic texture","volume":"20","author":"Eshmuminov","year":"2018","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib9","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1002\/jso.25464","article-title":"Preoperative risk evaluation for pancreatic fistula after pancreaticoduodenectomy","volume":"119","author":"Ellis","year":"2019","journal-title":"J\u00a0Surg Oncol"},{"key":"10.1016\/j.surg.2020.11.033_bib10","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1002\/jhbp.799","article-title":"Risk factors for pancreatic fistula grade C after pancreatoduodenectomy: a large prospective, multicenter Japan-Taiwan collaboration study","volume":"27","author":"Hirono","year":"2020","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2020.11.033_bib11","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1159\/000445068","article-title":"Scores for prediction of fistula after pancreatoduodenectomy: a systematic review","volume":"33","author":"Sandini","year":"2016","journal-title":"Dig Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jamcollsurg.2012.09.002","article-title":"A\u00a0prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy","volume":"216","author":"Callery","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib13","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/j.jamcollsurg.2017.01.054","article-title":"Using the NSQIP pancreatic demonstration project to derive a modified fistula risk score for preoperative risk stratification in patients undergoing pancreaticoduodenectomy","volume":"224","author":"Kantor","year":"2017","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib14","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/SLA.0000000000002620","article-title":"and the Dutch Pancreatic Cancer Group. Alternative fistula risk score for pancreatoduodenectomy (a-FRS): design and international external validation","volume":"269","author":"Mungroop","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib15","doi-asserted-by":"crossref","DOI":"10.1097\/SLA.0000000000002620","article-title":"Updated alternative fistula risk score (ua-FRS) to include minimally invasive pancreatoduodenectomy: Pan-European validation [e-pub ahead of print]","author":"Mungroop","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib16","article-title":"Development of a novel pancreatoduodenectomy-Specific risk calculator: an analysis of 10,000 patients [e-pub ahead of print]","author":"Al Abbas","year":"2020","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib17","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1016\/j.jamcollsurg.2014.07.940","article-title":"Acoustic radiation force impulse imaging of the pancreas for estimation of pathologic fibrosis and risk of postoperative pancreatic fistula","volume":"219","author":"Harada","year":"2014","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib18","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jss.2008.08.022","article-title":"Assessment of pancreatic hardness-surgeon versus durometer","volume":"158","author":"Belyaev","year":"2010","journal-title":"J\u00a0Surg Res"},{"key":"10.1016\/j.surg.2020.11.033_bib19","doi-asserted-by":"crossref","first-page":"2876","DOI":"10.1007\/s00268-017-4073-9","article-title":"Quantitative assessment of pancreatic texture using a durometer: a new tool to predict the risk of developing a postoperative fistula","volume":"41","author":"Marchegiani","year":"2017","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib20","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1007\/s00268-011-1253-x","article-title":"A\u00a0preoperative predictive scoring system for postoperative pancreatic fistula after pancreaticoduodenectomy","volume":"35","author":"Yamamoto","year":"2011","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib21","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1007\/s00268-014-2556-5","article-title":"Correlation between preoperative imaging and intraoperative risk assessment in the prediction of postoperative pancreatic fistula following pancreatoduodenectomy","volume":"38","author":"Frozanpor","year":"2014","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib22","doi-asserted-by":"crossref","first-page":"e1152","DOI":"10.1097\/MD.0000000000001152","article-title":"Preoperative computed tomography to predict and stratify the risk of severe pancreatic fistula after pancreatoduodenectomy","volume":"94","author":"Sandini","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.surg.2020.11.033_bib23","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1016\/j.crad.2016.06.108","article-title":"Comparison of preoperative CT-based imaging parameters to predict postoperative pancreatic fistula","volume":"71","author":"Roberts","year":"2016","journal-title":"Clin Radiol"},{"key":"10.1016\/j.surg.2020.11.033_bib24","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1007\/s11605-018-4045-x","article-title":"Postoperative pancreatic fistula following pancreaticoduodenectomy-Stratification of patient risk","volume":"23","author":"Akgul","year":"2019","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib25","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1002\/bjs.8654","article-title":"Randomized clinical trial of external stent drainage of the pancreatic duct to reduce postoperative pancreatic fistula after pancreaticojejunostomy","volume":"99","author":"Motoi","year":"2012","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib26","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1007\/s00268-016-3659-y","article-title":"Pancreatic duct holder and mucosa squeeze-out technique for duct-to-mucosa pancreatojejunostomy after pancreatoduodenectomy: propensity score matching analysis","volume":"40","author":"Sugiyama","year":"2016","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib27","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12893-018-0420-5","article-title":"Comparison of pancreatojejunostomy techniques in patients with a soft pancreas: Kakita anastomosis and Blumgart anastomosis","volume":"18","author":"Kawakatsu","year":"2018","journal-title":"BMC Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib28","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s11605-007-0421-7","article-title":"Preoperative predictors for complications after pancreaticoduodenectomy: impact of BMI and body fat distribution","volume":"12","author":"House","year":"2008","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib29","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1097\/SLA.0b013e31827827d0","article-title":"Prediction of pancreatic anastomotic failure after pancreatoduodenectomy: the use of preoperative, quantitative computed tomography to measure remnant pancreatic volume and body composition","volume":"257","author":"Kirihara","year":"2013","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib30","doi-asserted-by":"crossref","DOI":"10.1245\/s10434-020-08595-3","article-title":"Pancreatic fat and body composition measurements by computed tomography are associated with pancreatic fistula after pancreatectomy [e-pub ahead of print]","author":"Tanaka","year":"2020","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2020.11.033_bib31","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1002\/jso.20608","article-title":"The surgical procedure and clinical results of subtotal stomach preserving pancreaticoduodenectomy (SSPPD) in comparison with pylorus preserving pancreaticoduodenectomy (PPPD)","volume":"95","author":"Hayashibe","year":"2007","journal-title":"J\u00a0Surg Oncol"},{"key":"10.1016\/j.surg.2020.11.033_bib32","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1007\/s005340170022","article-title":"History of pancreaticojejunostomy in pancreaticoduodenectomy: development of a more reliable anastomosis technique","volume":"8","author":"Kakita","year":"2001","journal-title":"J\u00a0Hepatobiliary Pancreat Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib33","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s00423-020-01855-6","article-title":"Pancreaticojejunostomy--a review of modern techniques","volume":"405","author":"Olakowski","year":"2020","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib34","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1148\/radiol.13122883","article-title":"Quantitative assessment of pancreatic fat by using unenhanced CT: pathologic correlation and clinical implications","volume":"271","author":"Kim","year":"2014","journal-title":"Radiology"},{"key":"10.1016\/j.surg.2020.11.033_bib35","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1007\/s00535-020-01683-x","article-title":"Longitudinal association of fatty pancreas with the incidence of type-2 diabetes in lean individuals: a 6-year computed tomography-based cohort study","volume":"55","author":"Yamazaki","year":"2020","journal-title":"J\u00a0Gastroenterol"},{"key":"10.1016\/j.surg.2020.11.033_bib36","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s00595-018-1626-y","article-title":"The attenuation value of preoperative computed tomography as a novel predictor for pancreatic fistula after pancreaticoduodenectomy","volume":"48","author":"Hanaki","year":"2018","journal-title":"Surg Today"},{"key":"10.1016\/j.surg.2020.11.033_bib37","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1016\/j.hpb.2020.01.002","article-title":"A\u00a0propensity score analysis of over 12,000 pancreaticojejunal anastomoses after pancreaticoduodenectomy: does technique impact the clinically relevant fistula rate?","volume":"22","author":"Kone","year":"2020","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib38","doi-asserted-by":"crossref","DOI":"10.1016\/j.hpb.2020.04.616","article-title":"Robotic pancreaticoduodenectomy decreases the risk of clinically relevant post-operative pancreatic fistula: a propensity score matched NSQIP analysis [e-pub ahead of print]","author":"Vining","year":"2020","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib39","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1007\/s11605-016-3340-7","article-title":"Selective perioperative administration of pasireotide is more cost-effective than routine administration for pancreatic fistula prophylaxis","volume":"21","author":"Denbo","year":"2017","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib40","doi-asserted-by":"crossref","DOI":"10.1002\/jso.26202","article-title":"Utilization of chemoradiation therapy provides strongest protective effect for avoidance of postoperative pancreatic fistula following pancreaticoduodenectomy: a NSQIP analysis [e-pub ahead of print]","author":"Mangieri","year":"2020","journal-title":"J\u00a0Surg Oncol"},{"key":"10.1016\/j.surg.2020.11.033_bib41","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software 'EZR' for medical statistics","volume":"48","author":"Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"key":"10.1016\/j.surg.2020.11.033_bib42","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1097\/MPA.0000000000000525","article-title":"The effect of body mass index on surgical outcomes in patients undergoing pancreatic resection: a systematic review and meta-analysis","volume":"45","author":"You","year":"2016","journal-title":"Pancreas"},{"key":"10.1016\/j.surg.2020.11.033_bib43","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.ijsu.2017.10.035","article-title":"Impact of body constitution on complications following pancreaticoduodenectomy: a retrospective cohort study","volume":"48","author":"Ekstr\u00f6m","year":"2017","journal-title":"Int J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib44","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.ijsu.2017.04.058","article-title":"Impact of obesity on short and long term results following a pancreatico-duodenectomy","volume":"42","author":"Shamali","year":"2017","journal-title":"Int J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib45","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.2020.11.033_bib46","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.2020.11.033_bib47","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.surg.2009.12.005","article-title":"Fatty pancreas and increased body mass index are risk factors of pancreatic fistula after pancreaticoduodenectomy","volume":"148","author":"Gaujoux","year":"2010","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2020.11.033_bib48","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1093\/ajcn\/44.6.739","article-title":"Subcutaneous and visceral fat distribution according to sex, age, and overweight, evaluated by computed tomography","volume":"44","author":"Enzi","year":"1986","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.surg.2020.11.033_bib49","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1007\/s11605-017-3356-7","article-title":"In patients with a soft pancreas, a thick parenchyma, a small duct, and fatty infiltration are significant risks for pancreatic fistula after pancreaticoduodenectomy","volume":"21","author":"Sugimoto","year":"2017","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib50","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s00423-019-01830-w","article-title":"Evaluation of preoperative risk factors for postpancreatectomy hemorrhage","volume":"404","author":"Izumo","year":"2019","journal-title":"Langenbecks Arch Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib51","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1038\/nrgastro.2011.4","article-title":"The clinical significance of pancreatic steatosis","volume":"8","author":"Smits","year":"2011","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"10.1016\/j.surg.2020.11.033_bib52","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.hpb.2016.11.008","article-title":"Robotic approach mitigates perioperative morbidity in obese patients following pancreaticoduodenectomy","volume":"19","author":"Girgis","year":"2017","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib53","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.ijsu.2018.04.005","article-title":"The optimal choice for pancreatic anastomosis after pancreaticoduodenectomy: a network meta-analysis of randomized control trials","volume":"57","author":"Wang","year":"2018","journal-title":"Int J Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib54","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.hpb.2018.03.003","article-title":"and the Dutch Pancreatic Cancer Group. A web-based overview, systematic review and meta-analysis of pancreatic anastomosis techniques following pancreatoduodenectomy","volume":"20","author":"Daamen","year":"2018","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib55","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1001\/jamasurg.2019.6035","article-title":"Pancreaticojejunostomy with externalized stent vs. pancreaticogastrostomy with externalized stent for patients with high-risk pancreatic anastomosis: a single-center, phase 3, randomized clinical trial","volume":"155","author":"Andrianello","year":"2020","journal-title":"JAMA Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib56","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s00534-012-0505-y","article-title":"A\u00a0questionnaire on the educational system for pancreatoduodenectomy performed in 1,134 patients in 71 institutions as members of the Japanese Society of Pancreatic Surgery","volume":"20","author":"Kawahara","year":"2013","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2020.11.033_bib57","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1007\/s11605-011-1777-2","article-title":"Effect of surgeon volume on outcome following pancreaticoduodenectomy in a high-volume hospital","volume":"16","author":"Pecorelli","year":"2012","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib58","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.1056\/NEJMoa1313688","article-title":"Pasireotide for postoperative pancreatic fistula","volume":"370","author":"Allen","year":"2014","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.surg.2020.11.033_bib59","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.hpb.2017.10.018","article-title":"Pasireotide does not prevent postoperative pancreatic fistula: a prospective study","volume":"20","author":"Elliott","year":"2018","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib60","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1016\/j.hpb.2018.03.007","article-title":"Pasireotide is not effective in reducing the development of postoperative pancreatic fistula","volume":"20","author":"Young","year":"2018","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib61","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1007\/s11605-019-04479-4","article-title":"Efficacy of pasireotide for prevention of postoperative pancreatic fistula in pancreatic surgery: a systematic review and meta-analysis","volume":"24","author":"Liu","year":"2020","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2020.11.033_bib62","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.pan.2020.03.010","article-title":"Pasireotide administration after pancreaticoduodenectomy may decrease clinically relevant postoperative pancreatic fistula in high-risk patients with small pancreatic ducts, soft pancreatic parenchyma and cystic or neuroendocrine neoplasia","volume":"20","author":"Vuorela","year":"2020","journal-title":"Pancreatology"},{"key":"10.1016\/j.surg.2020.11.033_bib63","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.hpb.2016.01.545","article-title":"A\u00a0randomised, single blinded trial, assessing the effect of a two week preoperative very low calorie diet on laparoscopic cholecystectomy in obese patients","volume":"18","author":"Burnand","year":"2016","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2020.11.033_bib64","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1111\/1747-0080.12601","article-title":"Implementation of a very low calorie diet program into the pre-operative model of care for obese general elective surgery patients: outcomes of a feasibility randomised control trial","volume":"77","author":"Hollis","year":"2020","journal-title":"Nutr Diet"},{"key":"10.1016\/j.surg.2020.11.033_bib65","article-title":"Efficacy of a dietitian-led very low calorie diet (VLCD) based model of care to facilitate weight loss for obese patients prior to elective, non-bariatric surgery [e-pub ahead of print]","author":"Griffin","year":"2020","journal-title":"J\u00a0Hum Nutr Diet"},{"key":"10.1016\/j.surg.2020.11.033_bib66","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1038\/sj.ijo.0803761","article-title":"Factors associated with percent change in visceral versus subcutaneous abdominal fat during weight loss: findings from a systematic review","volume":"32","author":"Chaston","year":"2008","journal-title":"Int J Obes (Lond)"},{"key":"10.1016\/j.surg.2020.11.033_bib67","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1111\/ases.12479","article-title":"Preoperative weight loss program involving a 20-day very low-calorie diet for obesity before laparoscopic gastrectomy for gastric cancer","volume":"12","author":"Inoue","year":"2019","journal-title":"Asian J Endosc Surg"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606020308187?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606020308187?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T10:59:34Z","timestamp":1758538774000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606020308187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":67,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["S0039606020308187"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2020.11.033","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A deep pancreas is a novel predictor of pancreatic fistula after pancreaticoduodenectomy in patients with a nondilated main pancreatic duct","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2020.11.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}