A new nomogram accurately predicts clinically relevant postoperative pancreatic fistula (cr-popf), helping surgeons identify high-risk patients.

• 28% of patients developed cr-popf in a study of 300 cases.
• Key independent risk factors include operation time, preoperative C-reactive protein levels, CT pancreas-to-CT psoas major ratio, and pancreatic thickness.
• The nomogram shows excellent predictive power with an AUC of 0.901, outperforming four other models.

This tool can aid in tailoring surgical approaches and optimizing patient outcomes.