Montagnini Andre L, Røsok Bård I, Asbun Horacio J, Barkun Jeffrey, Besselink Marc G, Boggi Ugo, Conlon Kevin C P, Fingerhut Abe, Han Ho-Seong, Hansen Paul D, Hogg Melissa E, Kendrick Michael L, Palanivelu Chinnusamy, Shrikhande Shailesh V, Wakabayashi Go, Zeh Herbert, Vollmer Charles M, Kooby David A
Universidade de Sao Paulo, Sao Paulo, Brazil.
University of Oslo University, Oslo, Norway.
HPB (Oxford). 2017 Mar;19(3):182-189. doi: 10.1016/j.hpb.2017.01.006.
There is a growing body of literature pertaining to minimally invasive pancreatic resection (MIPR). Heterogeneity in MIPR terminology, leads to confusion and inconsistency. The Organizing Committee of the State of the Art Conference on MIPR collaborated to standardize MIPR terminology.
After formal literature review for "minimally invasive pancreatic surgery" term, key terminology elements were identified. A questionnaire was created assessing the type of resection, the approach, completion, and conversion. Delphi process was used to identify the level of agreement among the experts.
A systematic terminology template was developed based on combining the approach and resection taking into account the completion. For a solitary approach the term should combine "approach + resection" (e.g. "laparoscopic pancreatoduodenectomy); for combined approaches the term must combine "first approach + resection" with "second approach + reconstruction" (e.g. "laparoscopic central pancreatectomy" with "open pancreaticojejunostomy") and where conversion has resulted the recommended term is "first approach" + "converted to" + "second approach" + "resection" (e.g. "robot-assisted" "converted to open" "pancreatoduodenectomy") CONCLUSIONS: The guidelines presented are geared towards standardizing terminology for MIPR, establishing a basis for comparative analyses and registries and allow incorporating future surgical and technological advances in MIPR.
关于微创胰腺切除术（MIPR）的文献越来越多。MIPR术语的异质性导致了混淆和不一致。MIPR先进技术会议组织委员会合作对MIPR术语进行标准化。
在对“微创胰腺手术”术语进行正式文献综述后，确定了关键术语要素。创建了一份问卷，评估切除类型、手术入路、完成情况和中转情况。采用德尔菲法确定专家之间的共识程度。
在考虑完成情况的基础上，结合手术入路和切除方式，制定了一个系统的术语模板。对于单一手术入路，术语应结合“手术入路+切除”（例如“腹腔镜胰十二指肠切除术”）；对于联合手术入路，术语必须结合“第一手术入路+切除”与“第二手术入路+重建”（例如“腹腔镜中段胰腺切除术”与“开放胰空肠吻合术”），如果发生了中转，推荐的术语是“第一手术入路”+“中转至”+“第二手术入路”+“切除”（例如“机器人辅助”“中转至开放”“胰十二指肠切除术”）。结论：所提出的指南旨在使MIPR术语标准化，为比较分析和登记建立基础，并允许纳入MIPR未来的手术和技术进展。
