Zhang L, Lou W H
Department of Pancreatic Surgery, Zhong Shan Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Wai Ke Za Zhi. 2017 Jul 1;55(7):504-506. doi: 10.3760/cma.j.issn.0529-5815.2017.07.006.
In 2017, following many thorough discussions, considering Chinese actual situation, more than 20 distinguished pancreatic surgeons brought about an update of the previous 2010 Chinese experts' consensus on the prevention and treatment of common complications after pancreatic surgery. Referred to the latest update of the postoperative pancreatic fistula consensus statement by the International Study Group of Pancreatic Surgery, the postoperative pancreatic fistula system of 2017 version Chinese consensus divided pancreatic fistula into pure fistula and mixed fistula based on whether other digestive fluid is mixed or not. The new version also presents key points of pancreatic fistula prevention and surgical strategy. In the paper, the authors analyzed the necessity, essentials and controversy of the update.
2017年,经过多次深入讨论,并结合中国实际情况,20余位杰出的胰腺外科专家对2010年版《中国胰腺术后常见并发症防治专家共识》进行了更新。参考国际胰腺外科研究组关于术后胰瘘共识声明的最新更新内容,2017版中国共识的术后胰瘘分类系统根据是否合并其他消化液,将胰瘘分为单纯性胰瘘和混合性胰瘘。新版本还提出了胰瘘预防要点及手术策略。本文作者分析了此次更新的必要性、要点及争议之处。