胰腺外科国际研究小组 (ISGPS) 定义和分类胰腺切除术后的死亡率
Tommaso Giuliani1,2, Ajith K Siriwardena3, Charles M Vollmer4
1HPB and Transplant Surgery Unit, Department of Surgery, Oncology and Gastroenterology (DISCOG), University of Padua, Padua, Italy.
Annals of surgery
|January 23, 2026
概括
胰腺外科国际研究小组 (ISGPS) 制定了胰腺切除术后死亡率 (PPM) 的新分类. 该框架旨在规范报告,并指导减少胰腺手术后可预防的死亡的策略.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 患者安全 患者安全
背景情况:
- 胰腺手术后的死亡率因患者因素和机构资源而异.
- 目前的报告方法缺乏关于死亡机制的细节.
- 为了更好的结果评估和干预设计,需要一个标准化的分类.
研究的目的:
- 建立胰腺切除后死亡率的统一定义和分类.
- 引导旨在减少可预防死亡的战略.
- 为了规范胰腺外科手术结果的报告.
主要方法:
- 关于胰腺切除术后死亡率,死亡原因和分类系统的系统文献综述.
- 通过代讨论和修订,开发共识定义和三方分类.
- 由ISGPS董事会成员对分类的最终批准.
主要成果:
- 胰腺切除术后死亡率 (PPM) 被定义为90天内死亡,通过根本原因分析与手术并发症相关.
- 确定了三类PPM:第一类 (血管/技术,15-30%),第二类 (胰腺切除术特异性并发症,45-65%) 和第三类 (心肺/脑血管,10-25%).
- 每个类别代表着不同的机制,发病时间和干预机会.
结论:
- 拟议的ISGPS分类为评估和对手术结果进行比较提供了一个强大的框架.
- 这种分类有助于制定有针对性的策略,以减少可能可预防的死亡.
- 建议进行前性验证,以标准化这种质量指标,以在全球范围内提高外科手术质量和患者安全.
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