ALB and metabolic dysfunction-associated steatotic liver disease: Kato et al. [20] reported that the serum albumin level in the DPPHR group were significantly better than that in the PD group (4.2 vs. 3.9; P = 0.003), the prognostic nutritional index of the DPPHR group was better (albeit the difference was not significant), and the incidence of postoperative NAFLD in the DPPHR group was also lower than that in the PD group.