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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 7, 2026; 32(1): 115098
Published online Jan 7, 2026. doi: 10.3748/wjg.v32.i1.115098
Published online Jan 7, 2026. doi: 10.3748/wjg.v32.i1.115098
Defining and predicting textbook outcomes in laparoscopic distal pancreatectomy
Xiao-Rui Huang, Deng-Sheng Zhu, Xin-Yi Guo, Jing-Zhao Zhang, Zhen Zhang, Huan Zheng, Tong Guo, Ya-Hong Yu, Zhi-Wei Zhang, Division of Hepato-Pancreato-Biliary Surgery, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China
Co-first authors: Xiao-Rui Huang and Deng-Sheng Zhu.
Co-corresponding authors: Ya-Hong Yu and Zhi-Wei Zhang.
Author contributions: Huang XR and Zhu DS contributed equally to this work as co-first authors; Huang XR was responsible for study design, data curation, conceptualization, methodology, and drafting the initial manuscript; Zhu DS performed formal data analysis and co-drafted the manuscript; Guo XY and Zhang JZ completed case data collection, follow-up, and data organization; Zhang Z and Zheng H participated in the literature search for the manuscript and the production of related figures and tables; Guo T provided manuscript revision suggestions; Yu YH and Zhang ZW, as co-corresponding authors, contributed equally to study supervision, funding acquisition, and critical review/editing of the manuscript; all authors approved the final version of the manuscript.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (No. TJ-IRB202407020).
Informed consent statement: Informed consent statement was waived owing to the study’s retrospective design.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Wei Zhang, MD, Doctor, Division of Hepato-Pancreato-Biliary Surgery, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430000, Hubei Province, China.
Received: October 13, 2025
Revised: November 9, 2025
Accepted: November 19, 2025
Published online: January 7, 2026
Processing time: 89 Days and 15.2 Hours
Revised: November 9, 2025
Accepted: November 19, 2025
Published online: January 7, 2026
Processing time: 89 Days and 15.2 Hours
Core Tip
Core Tip: We established a laparoscopic distal pancreatectomy-specific textbook outcome composite absence of grade B/C postoperative pancreatic fistula, grade B/C post-pancreatectomy hemorrhage, Clavien-Dindo ≥ III morbidity, 30-day readmission, and in-hospital or 30-day mortality as a standardized quality indicator for distal pancreatic resection. Among 405 consecutive patients, textbook outcome was attained in 70.6%; female sex enhanced achievement, whereas pre-operative endoscopic ultrasound-guided fine-needle aspiration, pancreatic portal hypertension, and cystic-solid/solid pathology predicted failure. An internally validated nomogram is provided for individual pre-operative risk counselling.