Biliary fistula after pancreaticoduodenectomy: data from 1618 consecutive pancreaticoduodenectomies

Biliary fistula is rare, but it can be life threatening when associated with POPF. As the sole independent risk factor is the CBD diameter, surgical technique is crucial. Regardless of the existing classification systems, further studies must assess the additive burden of BF when a concomitant POPF is present.