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Textbook outcomes in pancreatic surgery: a systematic review
A Sanchez-Mayoral1, A Sarriugarte2, J Larrea3
1Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Cruces, Baracaldo, Vizcaya, Spain.
Cirugia Espanola
|March 21, 2026
Summary
Evaluating surgical outcomes after pancreatectomy is crucial. Textbook Outcome in Pancreatic Surgery (TOPS) offers a comprehensive measure of optimal care, with rates varying widely across studies.
Area of Science:
- Surgical Outcomes Research
- Health Services Research
- Oncology
Background:
- Pancreatectomy carries significant risks, necessitating robust methods for evaluating surgical quality.
- Existing outcome metrics often fail to capture the multifaceted nature of optimal surgical care.
- The Textbook Outcome in Pancreatic Surgery (TOPS) has emerged as a composite endpoint to address these limitations.
Conclusions:
- Textbook Outcome in Pancreatic Surgery (TOPS) is a valuable patient-centered metric for assessing optimal surgical care after pancreatectomy.
- Variability in TOPS definitions and rates highlights the need for standardization.
- TOPS facilitates meaningful comparisons of surgical outcomes across different institutions.
