Examining 2,212 patients undergoing minimally invasive distal pancreatectomy (MIDP) for left-sided tumors, this study categorized participants into frail and nonfrail groups using the modified frailty index (MFI). The frail group (n=79) exhibited significantly higher clinically relevant postoperative pancreatic fistula, overall complications, and 90-day mortality (1.3%). MFI ≥0.27, extended pancreatectomy, BMI ≥30 kg/m², male sex, and malignancy were identified as risk factors for severe postoperative complications. MFI emerges as a valuable preoperative predictor for adverse outcomes in MIDP.
Journal Article by Park Y, Hwang DW (…) Kim SC et 5 al. in Int J Surg
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