中国实用外科杂志2017，Vol.37Issue(2)：149-152,4.DOI:10.19538/j.cjps.issn1005-2208.2017.02.12
2016版国际胰腺外科研究组术后胰瘘定义和分级系统更新内容介绍和解析
Updates and interpretations of PODF definition and grading system (2016 edition) by ISGPS
施思 1项金峰 1徐近 1虞先濬1
作者信息
- 1. 复旦大学附属肿瘤医院胰腺外科,复旦大学胰腺肿瘤研究所,上海,200032
- 折叠
摘要
Abstract
The definition and grading system of postoperative pancreatic fistula (PODF) developed by the International Study Group of Pancreatic Fistula (ISGPF) in 2005 has been widely accepted. However, the use of the process found that the version of the definition and classification system, there are still some problems and shortcomings. Based on this, the International Pancreatic Surgery Research Group (ISGPS) updated the relevant content, published 2016 version ,which is more concise and has clinical value than 2005 version. In 2005 version , PODF was emphasized as a complication that closely associated with the clinical management. A former grade A has been renamed as Biochemical Leak (BL) which is no longer considered as a fistula in 2016 version. Besides, grades B and C are defined more strictly. In particular, grade B requires a change in the postoperative management. Drains either left in place >3 weeks or repositioned through endoscopic or percutaneous is definitely considered as grade B. On the other hand, grade C refers to POPF that needs reoperation or leads to single/multiple organ failure and/or mortality.关键词
胰腺/术后胰瘘/分级系统Key words
pancreas/postoperative pancreatic fistula/grading system分类
医药卫生引用本文复制引用
施思,项金峰,徐近,虞先濬..2016版国际胰腺外科研究组术后胰瘘定义和分级系统更新内容介绍和解析[J].中国实用外科杂志,2017,37(2):149-152,4.
