A standardized classification for postpancreatectomy mortality (PPM) can enhance surgical outcomes and patient safety.

• PPM defined as death within 90 days, attributable to surgical complications, offers clarity for reporting.
• Three categories identified: PPM 1 (15-30%, technical complications), PPM 2 (45-65%, mainly pancreatic fistulas), and PPM 3 (10-25%, cardiopulmonary issues).

This new framework promises to guide targeted interventions and reduce preventable deaths in pancreatic surgery.

• Prospective validation will ensure consistent use and benchmarking across surgical practices.