Abstract
Background: Clinically-relevant postoperative pancreatic fistula (CR-POPF) is a relatively common and feared complication after pancreaticoduodenectomy. Currently, postoperative day (POD) 1 drain is the most accurate predictor of the future development of a CR-POPF. This is problematic as up to 41% of pancreatic surgeons report not regularly leaving intraperitoneal drains after pancreaticoduodenectomy. C-reactive protein-to-albumin ratio (CAR) is a novel inflammatory marker thought to be increased in CR-POPF. This study aims to assess this viability CAR to identify patients with CR-POPF after pancreaticoduodenectomy compared to the current standard.
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