title: Prediction of operative morbidity after pancreatic resection.
abstract: OBJECTIVE
  In spite of advances in surgical techniques and perioperative management, morbidity rates after pancreatic resection have not reduced. The aim of this study was to evaluate whether the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system could predict complications after pancreatic resection, comparing pancreaticoduodenectomy (PD) with distal pancreatectomy (DP).
  
  
  METHODS
  We performed PD in 77 patients, and DP in 50. We evaluated correlations between morbidity after pancreatic resection and the preoperative risk score (PRS), surgical stress score (SSS) and comprehensive risk score (CRS) of the E-PASS scoring system.
  
  
  RESULTS
  Except for postoperative pancreatic fistula (POPF), complications after PD were significantly more frequent than those after DP. SSS and CRS in PD group were significantly higher than in DP group.
  
  
  CONCLUSIONS
  Except for POPF, complications after pancreatic resection could be predicted using SSS and CRS of the E-PASS scoring.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hashimoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takamori
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hirotaz
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019540:Area Under Curve; D016009:Chi-Square Distribution; D003661:Decision Support Techniques; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects* / Q000401:mortality; D010185:Pancreatic Fistula / Q000209:etiology; D016577:Pancreaticoduodenectomy / Q000009:adverse effects* / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D011237:Predictive Value of Tests; D012372:ROC Curve; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult