Evaluation of monocyte distribution width as a predictive factor for early complications of pancreatic surgery (pancreaticoduodenectomy): a retrospective cohort study

Compared with the CRP level and WBC count, the MDW demonstrated superior and earlier predictive ability for detecting postoperative complications. Its elevation by day 3 provided early warning, especially for CR-POPF and leaks. As a rapid, cost-effective marker available from routine blood counts, the MDW may enhance postoperative monitoring and guide timely intervention.