{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:41:48Z","timestamp":1761745308200,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pancreatic fistula after pancreaticoduodenectomy is one of the most severe complications with mortality rates as high as 45%, and the prediction of most severe form of fistula (grade C) is crucial for successful management of patients who are to undergo cephalic pancreatoduodenectomy. It has been found that the amount of abdominal fat may predict grade C postoperative pancreatic fistula. In this study, we analysed the value of retrorenal fat thickness in the prediction of grade C pancreatic fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 140 patients who underwent pancreaticoduodenectomy were retrospectively analysed. Retrorenal fat thickness and intra\u2010abdominal fat, expressed as total fat area, visceral fat area and subcutaneous fat area, were determined from computed tomography slices using the known range of attenuation values (\u2212190 to \u221230). Blood loss, operating time, pancreatic texture and main pancreatic duct diameter as well as body mass index were also analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Retrorenal fat thickness (<jats:italic>P<\/jats:italic> = 0.0004), duct diameter (<jats:italic>P<\/jats:italic> = 0.0008), subcutaneous fat area (<jats:italic>P<\/jats:italic> = 0.023) and total fat area (<jats:italic>P<\/jats:italic> = 0.014) were found to be significant predictors of grade C pancreatic fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although retrorenal fat tissue thickness may seem robust, it is a simple measure that can be used to predict the most severe grade of pancreatic fistula after pancreaticoduodenectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16147","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T06:07:50Z","timestamp":1595311670000},"page":"2472-2477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Retrorenal fat predicts grade C pancreatic fistula after pancreaticoduodenectomy"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5870-4436","authenticated-orcid":false,"given":"Mario","family":"Kopljar","sequence":"first","affiliation":[{"name":"Department of Surgery University Hospital Centre \u201cSisters of Charity\u201d  Zagreb Croatia"},{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miran","family":"\u010coklo","sequence":"additional","affiliation":[{"name":"Centre for Applied Bioanthropology Institute for Anthropological Research  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonija","family":"Krsta\u010di\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"},{"name":"Clinical Hospital of Traumatology University Hospital Centre \"Sisters of Charity\"  Zagreb Croatia"},{"name":"University of Applied Health Sciences  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goran","family":"Krsta\u010di\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"},{"name":"University of Applied Health Sciences  Zagreb Croatia"},{"name":"Institute for Cardiovascular Prevention and Rehabilitation  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vjekoslav","family":"Jele\u010d","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"},{"name":"Department of Neurosurgery University Hospital Dubrava  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Zovak","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Centre \u201cSisters of Charity\u201d  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Pavi\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"},{"name":"Clinical Hospital of Traumatology University Hospital Centre \"Sisters of Charity\"  Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goran","family":"Kond\u017ea","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Josip Juraj Strossmayer University of Osijek  Osijek Croatia"},{"name":"Department of Surgery University Hospital Center Osijek  Osijek Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000577"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9553"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9653"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v2.i11.381"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.11.014"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001152"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-016-0388-6"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318256c32c"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12037"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.08.012"},{"key":"e_1_2_6_12_1","first-page":"1831","article-title":"Pancreatic fistula and relative mortality in malignant disease after pancreaticoduodenectomy. 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