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Despite the advancement of surgical techniques and support from perioperative monitoring, perioperative mortality after PD has become a rare event with mortality rates below 5% (1,2). However, the post-PD morbidity rate remains high (38–44%) (2-4), and in recent decades, this situation has not improved. In addition, it is much higher than the incidence of postoperative complications in other gastrointestinal cancer surgery (5-7). In order to reduce the potential for Original Article

A newly improved POSSUM scoring system for prediction of morbidity in patients with pancreaticoduodenectomy