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Does neoadjuvant therapy reduce pancreatic fistula after pancreatoduodenectomy and distal pancreatectomy?-a systematic review and meta-analysis - PubMed

4 hours ago
  • #pancreatic fistula
  • #pancreatic resection
  • #neoadjuvant therapy
  • Neoadjuvant therapy (NAT) significantly reduces postoperative pancreatic fistula (POPF) rates after pancreatoduodenectomy (Whipple procedure).
  • Pancreatic texture becomes harder after NAT, which is linked to lower POPF risk.
  • No significant differences were found between NAT and upfront surgery groups regarding pancreatic duct size or BMI.
  • The exact mechanisms of pancreatic texture change during NAT remain unclear.
  • Tailoring treatment based on predicted tumor response to NAT could improve surgical outcomes.