Patients with RDIs <80% also had significantly more combined portal vein resections (P = 0.02), intra-plus postoperative blood transfusions (P = 0.007), lymph node metastases (P = 0.001), dissected peripancreatic tissue margins (pDPM) (+) (P = 0.004), lower postoperative serum albumin levels (P < 0.001), lower white blood cell (WBC) counts (P = 0.03), and higher platelet-to-lymphocyte ratios (PLR) (P = 0.02). The gene discussed is ALB; the disease is metastatic malignant neoplasm in the lymph nodes.