Publication Name	World Journal of Gastroenterology
Manuscript ID	115098
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Defining and predicting textbook outcomes in laparoscopic distal pancreatectomy
Manuscript Source	Unsolicited Manuscript
All Author List	Xiao-Rui Huang, Deng-Sheng Zhu, Xin-Yi Guo, Jing-Zhao Zhang, Zhen Zhang, Huan Zheng, Tong Guo, Ya-Hong Yu and Zhi-Wei Zhang
Funding Agency and Grant Number
Corresponding Author	Zhi-Wei Zhang, MD, 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. zhiweizhang@tjh.tjmu.edu.cn
Key Words	Laparoscopic distal pancreatectomy; Textbook outcome; Predictors; Risk prediction model; Nomogram
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.
Citation	Huang XR, Zhu DS, Guo XY, Zhang JZ, Zhang Z, Zheng H, Guo T, Yu YH, Zhang ZW. Defining and predicting textbook outcomes in laparoscopic distal pancreatectomy. World J Gastroenterol 2025; In press

Received	2025-10-13 14:01
Peer-Review Started	2025-10-13 14:01
To Make the First Decision
Return for Revision	2025-11-06 09:33
Revised	2025-11-09 05:20
Second Decision	2025-11-19 02:35
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-19 10:21
Articles in Press	2025-11-19 10:21
Publication Fee Transferred	2025-11-10 13:35
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Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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