Textbook oncologic outcomes following pancreatoduodenectomy in patients with pancreatic adenocarcinoma: A high-volume center study

BACKGROUND The concept of textbook oncologic outcome (TOO), serving as an integrated composite measure, has emerged to evaluate the overall standard of oncologic care. Its utilization now spans various cancer types, supported by growing evidence linking successful TOO achievement to improved long-term patient survival. However, the role of TOO in pancreatic cancer patients undergoing pancreaticoduodenectomy (PD), particularly via open surgery, remains unclear. Additionally, differences in TOO ac