{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:20:23Z","timestamp":1779927623790,"version":"3.53.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,11,12]],"date-time":"2018-11-12T00:00:00Z","timestamp":1541980800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>Background. There is paucity of data about the impact of using magnification on rate of pancreatic leak after pancreaticoduodenectomy (PD). The aim of this study was to show the impact of using magnifying surgical loupes 4.0\u00d7 EF (electro-focus) on technical performance and surgical outcomes of PD. Patients and Method. This is a propensity score\u2013matched study. Thirty patients underwent PD using surgical loupes at 4.0\u00d7 magnification (Group A), and 60 patients underwent PD using the conventional method (Group B). The primary outcome was postoperative pancreatic fistula. Secondary outcomes included operative time, intraoperative blood loss, postoperative complications, mortality, and hospital stay. Results. The total operative time was significantly longer in the loupe group ( P = .0001). The operative time for pancreatic reconstruction was significantly longer in the loupe group ( P = .0001). There were no significant differences between both groups regarding hospital stay, time to oral intake, total amount of drainage, and time of nasogastric tube removal. Univariate and multivariate analyses demonstrated 3 independent factors of development of postoperative pancreatic fistula: pancreatic duct &lt;3 mm, body mass index &gt;25, and soft pancreas. Conclusion. Surgical loupes 4.0\u00d7 added no advantage in surgical outcomes of PD with regard to improvement of postoperative complications rate or mortality rate.<\/jats:p>","DOI":"10.1177\/1553350618812322","type":"journal-article","created":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T01:50:26Z","timestamp":1542073826000},"page":"201-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Loupe at 4.0\u00d7 Magnification in Pancreaticoduodenectomy\u2014Does It Affect the Surgical Outcomes? A Propensity Score\u2013Matched Study"],"prefix":"10.1177","volume":"26","author":[{"given":"Mohamed","family":"El Shobary","sequence":"first","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3002-6872","authenticated-orcid":false,"given":"Ayman","family":"El Nakeeb","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Sultan","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud Abd El Wahab","family":"Ali","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"El Dosoky","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, 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