{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:03:07Z","timestamp":1791874987024,"version":"4.3.4"},"reference-count":27,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2017YFC1308604"],"award-info":[{"award-number":["2017YFC1308604"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2023,12]]},"DOI":"10.1016\/j.surg.2023.09.007","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T18:05:02Z","timestamp":1696961102000},"page":"1416-1421","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["External validation of fistula risk scores for postoperative pancreatic fistula after distal pancreatectomy"],"prefix":"10.1016","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8678-4843","authenticated-orcid":false,"given":"Yecheng","family":"Xu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deliang","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8790-6072","authenticated-orcid":false,"given":"Feng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.surg.2023.09.007_bib1","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1007\/s11605-019-04155-7","article-title":"Drain contamination after distal pancreatectomy: incidence, risk Factors, and association with postoperative pancreatic fistula","volume":"23","author":"Yang","year":"2019","journal-title":"J\u00a0Gastrointest Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib2","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/j.surg.2015.10.028","article-title":"Comparing the burden of pancreatic fistulas after pancreatoduodenectomy and distal pancreatectomy","volume":"159","author":"McMillan","year":"2016","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2023.09.007_bib3","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1002\/jhbp.589","article-title":"Clinical significance of drain fluid culture after pancreaticoduodenectomy","volume":"25","author":"Yang","year":"2018","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2023.09.007_bib4","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/SLA.0000000000002491","article-title":"Risk factors and mitigation strategies for pancreatic fistula after distal pancreatectomy: analysis of 2026 resections from the international, multi-institutional distal pancreatectomy study group","volume":"269","author":"Ecker","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib5","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1093\/bjs\/znac266","article-title":"Development and external validation of DISPAIR fistula risk score for clinically relevant postoperative pancreatic fistula risk after distal pancreatectomy","volume":"109","author":"Bonsdorff","year":"2022","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib6","doi-asserted-by":"crossref","unstructured":"De Pastena M, van Bodegraven EA, Mungroop TH, et al. Distal pancreatectomy fistula risk score (D-FRS): development and international validation [e-pub ahead of print]. Ann Surg. https:\/\/doi.org\/10.1097\/SLA.0000000000005497. Accessed August 8, 2023.","DOI":"10.1016\/j.pan.2022.06.224"},{"key":"10.1016\/j.surg.2023.09.007_bib7","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","article-title":"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.2023.09.007_bib8","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.pan.2022.06.002","article-title":"Routine prophylactic abdominal drainage versus no-drain strategy after distal pancreatectomy: a multicenter propensity score matched analysis","volume":"22","author":"van Bodegraven","year":"2022","journal-title":"Pancreatology"},{"key":"10.1016\/j.surg.2023.09.007_bib9","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1007\/s00268-023-06933-6","article-title":"Impact of drain position on drain fluid amylase, fluid collection and postoperative pancreatic fistula after distal pancreatectomy","volume":"47","author":"Lee","year":"2023","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib10","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.hpb.2021.02.015","article-title":"Systematic review and meta-analysis of risk factors of postoperative pancreatic fistula after distal pancreatectomy in the era of 2016 International Study Group pancreatic fistula definition","volume":"23","author":"Chong","year":"2021","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2023.09.007_bib11","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1056\/NEJMc1407470","article-title":"Pasireotide for postoperative pancreatic fistula","volume":"371","author":"Yang","year":"2014","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.surg.2023.09.007_bib12","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.pan.2018.05.006","article-title":"Exocrine pancreatic insufficiency in type 1 and type 2 diabetes mellitus: do we need to treat it? A systematic review","volume":"18","author":"Zs\u00f3ri","year":"2018","journal-title":"Pancreatology"},{"key":"10.1016\/j.surg.2023.09.007_bib13","doi-asserted-by":"crossref","first-page":"e126","DOI":"10.1097\/SLA.0000000000004921","article-title":"Early and sustained elevation in serum pancreatic amylase activity: a novel predictor of morbidity after pancreatic surgery","volume":"277","author":"Bannone","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib14","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/j.amjsurg.2012.11.023","article-title":"Stump closure of a thick pancreas using stapler closure increases pancreatic fistula after distal pancreatectomy","volume":"206","author":"Kawai","year":"2013","journal-title":"Am J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib15","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1007\/s00268-017-3872-3","article-title":"Prediction of pancreatic fistula after distal pancreatectomy based on cross-sectional images","volume":"41","author":"Chang","year":"2017","journal-title":"World J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib16","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/j.hpb.2019.07.010","article-title":"Relationship between pancreatic thickness and staple height is relevant to the occurrence of pancreatic fistula after distal pancreatectomy","volume":"22","author":"Sugimoto","year":"2020","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2023.09.007_bib17","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1007\/s00534-013-0596-0","article-title":"Risk factor analysis and prevention of postoperative pancreatic fistula after distal pancreatectomy with stapler use","volume":"20","author":"Sugimoto","year":"2013","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2023.09.007_bib18","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1245\/s10434-019-07222-0","article-title":"A\u00a0multicenter, randomized, controlled trial comparing reinforced staplers with bare staplers during distal pancreatectomy (HiSCO-07 Trial)","volume":"26","author":"Kondo","year":"2019","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.surg.2023.09.007_bib19","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1097\/SLA.0000000000001395","article-title":"Randomized controlled trial of pancreaticojejunostomy versus stapler closure of the pancreatic stump during distal pancreatectomy to reduce pancreatic fistula","volume":"264","author":"Kawai","year":"2016","journal-title":"Ann Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib20","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.surg.2017.10.042","article-title":"Postoperative narcotic use is associated with development of clinically relevant pancreatic fistulas after distal pancreatectomy","volume":"163","author":"Kowalsky","year":"2018","journal-title":"Surgery"},{"key":"10.1016\/j.surg.2023.09.007_bib21","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1016\/j.pan.2020.04.006","article-title":"External validation and comparison of the original, alternative and updated-alternative fistula risk scores for the prediction of postoperative pancreatic fistula after pancreatoduodenectomy","volume":"20","author":"Shinde","year":"2020","journal-title":"Pancreatology"},{"key":"10.1016\/j.surg.2023.09.007_bib22","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1002\/jhbp.638","article-title":"Validation of original and alternative fistula risk scores in postoperative pancreatic fistula","volume":"26","author":"Ryu","year":"2019","journal-title":"J\u00a0Hepatobiliary Pancreat Sci"},{"key":"10.1016\/j.surg.2023.09.007_bib23","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1093\/bjs\/znac348","article-title":"Preoperative CT image analysis to improve risk stratification for clinically relevant pancreatic fistula after distal pancreatectomy","volume":"110","author":"Pecorelli","year":"2023","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib24","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1002\/bjs.11554","article-title":"Comparison of the duration of hospital stay after laparoscopic or open distal pancreatectomy: randomized controlled trial","volume":"107","author":"Bj\u00f6rnsson","year":"2020","journal-title":"Br J Surg"},{"key":"10.1016\/j.surg.2023.09.007_bib25","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.hpb.2020.10.022","article-title":"Minimally invasive versus open distal pancreatectomy: an individual patient data meta-analysis of two randomized controlled trials","volume":"23","author":"Korrel","year":"2021","journal-title":"HPB (Oxford)"},{"key":"10.1016\/j.surg.2023.09.007_bib26","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.2023.09.007_bib27","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.1016\/j.surg.2021.11.009","article-title":"Incidence and impact of postoperative pancreatic fistula after minimally invasive and open distal pancreatectomy","volume":"171","author":"van der Heijde","year":"2022","journal-title":"Surgery"}],"container-title":["Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606023005883?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039606023005883?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:06:26Z","timestamp":1758539186000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039606023005883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S0039606023005883"],"URL":"https:\/\/doi.org\/10.1016\/j.surg.2023.09.007","relation":{},"ISSN":["0039-6060"],"issn-type":[{"value":"0039-6060","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"External validation of fistula risk scores for postoperative pancreatic fistula after distal pancreatectomy","name":"articletitle","label":"Article Title"},{"value":"Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.surg.2023.09.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}