Personalized medicine for pancreatic fistula after pancreatoduodenectomy: Targeting improvement through risk profiling

Background: Despite having many technical options, most surgeons employ a “one size fits all” management strategy for preventing pancreatic fistula (CR-POPF) following pancreatoduodenectomy (PD). Yet, the risk of CR-POPF development is different in every patient. The 4-element/10-point Fistula Risk Score (FRS) quantitates that risk, which can be segregated into four discrete zones for comparison (Negligible, Low, Moderate, High). More...