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This article summarizes a study that examined the use of drain fluid amylase levels on the first postoperative day (POD1) to predict the development of postoperative pancreatic fistula (POPF) after pancreatic surgery. The study included 185 patients who underwent pancreaticoduodenectomy between April 2014 and April 2018. The results showed that a POD1 amylase level higher than 1883 U/L had the best accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for predicting POPF. The study suggests that a cut-off point of 1883 U/L for POD1 drain fluid amylase level may be useful in predicting clinically relevant POPF in patients undergoing pancreatic resection. [Extracted from the article]

This article discusses a study that compared the evaluation of tissue samples from patients who underwent pancreaticoduodenectomy (PD) by HPB-specific pathologists and general pathologists. The study found that HPB-specific pathologists had a higher number of lymph nodes dissected and a higher number of metastatic lymph nodes compared to general pathologists. Additionally, the HPB-specific pathologists had a higher rate of positive surgical margins. The study concludes that it is crucial to have HPB-specific pathologists examine specimens for the success of HPB surgeries. [Extracted from the article]