报告胆道损伤治疗结果的拟议标准。
Proposed standards for reporting outcomes of treating biliary injuries.
作者信息
Cho Jai Young, Baron Todd H, Carr-Locke David L, Chapman William C, Costamagna Guido, de Santibanes Eduardo, Dominguez Rosado Ismael, Garden O James, Gouma Dirk, Lillemoe Keith D, Angel Mercado Miguel, Mullady Daniel K, Padbury Robert, Picus Daniel, Pitt Henry A, Sherman Stuart, Shlansky-Goldberg Richard, Tornqvist Bjorn, Strasberg Steven M
机构信息
Department of Surgery, Seoul National University, Bundang Hospital, Seoul National University College of Medicine, Seongnam, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si 13620, Republic of Korea.
Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, 130 Mason Farm Road CB 7080, Chapel Hill, NC 27599, USA.
出版信息
HPB (Oxford). 2018 Apr;20(4):370-378. doi: 10.1016/j.hpb.2017.10.012. Epub 2018 Feb 4.
BACKGROUND
There is no standard nor widely accepted way of reporting outcomes of treatment of biliary injuries. This hinders comparison of results among approaches and among centers. This paper presents a proposal to standardize terminology and reporting of results of treating biliary injuries.
METHODS
The proposal was developed by an international group of surgeons, biliary endoscopists and interventional radiologists. The method is based on the concept of "patency" and is similar to the approach used to create reporting standards for arteriovenous hemodialysis access.
RESULTS
The group considered definitions and gradings under the following headings: Definition of Patency, Definition of Index Treatment Periods, Grading of Severity of Biliary Injury, Grading of Patency, Metrics, Comparison of Surgical to Non Surgical Treatments and Presentation of Case Series.
CONCLUSIONS
A standard procedure for reporting outcomes of treating biliary injuries has been produced. It is applicable to presenting results of treatment by surgery, endoscopy, and interventional radiology.
背景
目前尚无标准的、被广泛接受的报告胆道损伤治疗结果的方法。这阻碍了不同治疗方法及不同中心之间结果的比较。本文提出一项标准化胆道损伤治疗结果术语及报告方式的提议。
方法
该提议由一组国际外科医生、胆道内镜医师及介入放射科医生共同制定。此方法基于“通畅性”概念，类似于用于制定动静脉血液透析通路报告标准的方法。
结果
该小组在以下标题下考虑了定义和分级：通畅性定义、索引治疗期定义、胆道损伤严重程度分级、通畅性分级、指标、手术治疗与非手术治疗的比较以及病例系列展示。
结论
已制定出报告胆道损伤治疗结果的标准程序。它适用于呈现手术、内镜及介入放射治疗的结果。
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