Comparing the Burden of Fistulas for Proximal and Distal Pancreatic Resections Using the Postoperative Morbidity Index

Clinical experience and the literature suggest there is a difference in the behavior of postoperative pancreatic fistulas (POPF) following various pancreatic resections. The utility-based Accordion grading system classifies complications into groups based on severity, and this has facilitated the development of a quantitative measure of burden, the Postoperative Morbidity Index (PMI). We have previously used PMI to assess the impact of POPFs following pancreatoduodenectomy (PD). Here, we investigate distal pancreatectomy (DP) using PMI and compare it to PD.