Current German practices in the prevention and management of postoperative pancreatic fistula following pancreatoduodenectomy: a nationwide survey

The survey reveals substantial variability in anastomotic techniques and in prophylactic and therapeutic strategies for POPF among German surgical centers, reflecting the current lack of high-level evidence in many areas. While minimally invasive management is widely adopted, the findings underscore the need for standardized protocols, improved risk stratification and further clinical trials to strengthen evidence-based practice in pancreatic surgery.