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A full neck resection with systematic transection ≥7mmat the left side of the portal vein seems to prevent CR-POPF harboring a protective effect (OR 0.056; 95% CI 0.003 to 0.978; P=0.039). Here we further consolidate the concept describing the pancreatic neck as a vascular watershed, showing that a long remnant pancreatic neck could be an independent risk factor for CR-POPF after PD (NCT03850236). The present study was approved by our local ethics committee and was declared on ClinicalTrials.gov (ID NCT03850236). The present study was a