Pulvirenti Alessandra, Ramera Marco, Bassi Claudio
Pancreas Surgery Unit of Pancreas Institute, Verona University Hospital, Verona, Italy.
Transl Gastroenterol Hepatol. 2017 Dec 12;2:107. doi: 10.21037/tgh.2017.11.14. eCollection 2017.
Postoperative pancreatic fistula (POPF) remains the major postoperative cause of morbidity and mortality following pancreatic surgery. Since 2005, the International Study Group of Pancreatic Fistula (ISGPF) definition and classification has been adopted worldwide allowing the comparison among different surgical approaches and mitigation strategies. Over the last 11 years, several limitations have emerged from clinical practice and in 2016 the International Study Group for Pancreatic Surgery (ISGPS) updated the POPF definition and grading system. Objectives of this review article were to summarize modifications in the updated ISGPS definition and to illustrate their clinical impact.
术后胰瘘(POPF)仍然是胰腺手术后发病和死亡的主要术后原因。自2005年以来,国际胰瘘研究小组(ISGPF)的定义和分类已在全球范围内采用,从而能够对不同的手术方法和缓解策略进行比较。在过去11年中,临床实践中出现了一些局限性,2016年国际胰腺手术研究小组(ISGPS)更新了POPF的定义和分级系统。这篇综述文章的目的是总结ISGPS更新定义中的修改内容,并阐述其临床影响。