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评估左胰腺切除术的潜在困难:国际修改的德尔菲共识

Jose M Ramia¹, Celia Villodre¹, Mario Serradilla-Martín²

¹Department of Surgery. Hospital General Universitario Dr. Balmis. ISABIAL. Universidad Miguel Hernández. Alicante (Spain).

Journal of the American College of Surgeons

|May 9, 2025

概括

这项研究确定了十个关键因素,增加了左胰腺切除术 (LP) 的难度,这是一个关键的胰腺手术. 这些发现有助于外科医生为复杂的LP手术选择最佳策略.

科学领域:

手术瘤学手术瘤学
胃肠病学胃肠病学
医学教育医学教育

背景情况:

左胰腺切除术 (LP) 是指远端胰腺切除术的标准化术语.
LP涵盖了不同复杂度的各种技术.
确定影响LP困难的因素对于手术规划至关重要.

研究的目的:

建立对导致左胰腺切除术难度的因素的共识.
为了方便选择最佳的手术策略,LP.
为分层LP复杂性提供一个框架.

主要方法:

一个四阶段的德尔菲共识过程,涉及来自14个国家的58名 expert胰腺外科医生.
外科医生在两轮调查中使用5分利克特级别对困难因素的一致性进行评分.
共识被定义为≥70%的同意将其纳入最终建议.

主要成果:

对于LP的10个难度参数,达到了≥70%的共识.
关键因素包括先前的胰腺手术,胰腺炎史,瘤位置,BMI,肝硬化和血管透.
以前的胰腺手术和多内脏切除是最高的 (90.7%),紧随其后的是急性胰腺炎 (88.9%).

结论:

一个国际的Delphi研究成功地确定并同意了10个陈述,分层LP难度.
这些共识声明为手术规划和策略选择提供了宝贵的见解.
建议进行前性验证,以确认这些发现的有用性.

关键词:

德尔菲是什么意思德尔菲是什么意思德尔菲是什么意思胰腺是什么? 胰腺是什么?困难困难困难困难左胰腺切除术是什么意思手术手术手术手术手术手术手术

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