Postoperative pancreatic fistula after distal pancreatectomy: pancreatic thickness and duct size as the only denominators?

We read with great interest the multicenter study from De Pastena and colleagues dealing with the prediction of clinically relevant postoperative pancreatic fistula(CR-POPF)after distal pancreatectomy(DP)(1).The study aimed to develop two scores.One was solely based on preoperative data.The second one relied on both preoperative and intraoperative data.