Does modified Blumgart pancreatojejunostomy compared with original Blumgart pancreatojejunostomy decrease the rate of clinically relevant postoperative pancreatic fistula? A single-center propensity score-matched analysis

Key Points

• The research aims to compare the effectiveness of modified Blumgart pancreatojejunostomy against the original technique in preventing postoperative pancreatic fistulas.
• Single-center propensity score-matched analysis
• Comparison of modified and original techniques
• Assessment of factors affecting fistula incidence
• No significant reduction in clinically relevant postoperative pancreatic fistula rates with modified technique
• Identified factors include soft pancreas, main pancreatic duct size, and preoperative cholangitis as independent risks for fistula
• Findings highlight the complexity of surgical outcomes influenced by patient-specific factors