Clinical Study

Morphohistological Features of Pancreatic Stump Are the Main Determinant of Pancreatic Fistula after Pancreatoduodenectomy

Table 4

Univariate analysis of morphological features of pancreatic stump as risk factors for POPF.

Patients with POPF ( )Patients without POPF ( ) valuePatients with grade B-C POPF ( )Other patients ( ) value

Pancreatic texture by surgeon
 Soft ( )3015<0,0011926<0,001
 Medium or hard ( )1189496
Wirsung diameter (mm)3,19 ± 1,214,29 ± 1,73<0,0013,08 ± 1,424,14 ± 1,690,006
 ≤3 mm ( )26370,00215480,022
 >3 mm ( )1567874
Wirsung decentralization
 Anteroposterior axis0,31 ± 0,340,23 ± 0,300,0310,28 ± 0,400,25 ± 0,310,131
 Craniocaudal axis−0,17 ± 0,16−0,12 ± 0,230,426−0,20 ± 0,16−0,13 ± 0,210,412
Stump area (mm2)219,21 ± 113,79138,23 ± 99,08<0,001223,82 ± 110,42149,59 ± 105,970,003
Stump mobilization (mm)24,26 ± 5,4220,59 ± 4,02<0,00124,34 ± 5,8921,12 ± 4,330,003