Bag, Yusuf MuratTopel, CagdasOzdemir, EgemenSaglam, KutaySumer, FatihKayaalp, Cuneyt2024-08-042024-08-0420210003-13481555-9823https://doi.org/10.1177/0003134820952429https://hdl.handle.net/11616/99993Background Distal pancreatectomy (DP) is the main surgical treatment of benign and malignant lesions located in pancreatic body and tail. Postoperative pancreatic fistula (POPF) following DP is still a considerable cause of morbidity. Identification of risk factors for POPF after DP might provide some preventive applications. We aimed to evaluate the factors affecting POPF after DP and to present a new and easy radiological predictive factor. Materials and Methods Thirty-four patients underwent DP with stapler closure were included. Several risk factors for clinically relevant POPF (CR-POPF) were analyzed. Additionally, computed tomography findings of pancreatic thickness (PT), main pancreatic duct diameter (MPDD), and PT/MPDD ratio were evaluated for POPF. Results CR-POPF was observed in 10 patients (29.4%). Univariate and multivariate analyses showed that previous abdominal surgery and PT/MPDD ratio were predictive factors for CR-POPF after DP (P = 0.040, P = 0.034, respectively). The cutoff value for the PT/MPDD ratio was 8. Conclusion A PT/MPDD ratio greater than 8 (a wide pancreas with a narrow duct) is a significant predictive factor for CR-POPF following DP.eninfo:eu-repo/semantics/closedAccesspancreatic leakpancreatic body and tail resectionriskArticle8757257313317002710.1177/00031348209524292-s2.0-85108155836Q3WOS:000663373500010Q4