摘要
国际胰瘘研究组(ISGPF)2005版术后胰瘘定义和分级系统已被广泛采纳。然而在使用过程中发现,该版定义和分级系统尚存在一些问题和不足。基于此,国际胰腺外科研究组(ISGPS)对相关内容进行更新,发布了2016版术后胰瘘的定义和分级系统。后者比前者更为简明扼要和具有临床实用价值。2005版中的A级胰瘘被更名为生化漏,不再被认为包含在胰瘘内。B级和C级胰瘘的定义更为严格。尤其是B级胰瘘需要发生明确的术后进程改变。持续引流超过3周和经皮或超声下穿刺引流均被划分为B级胰瘘。C级胰瘘则指出现由术后胰瘘引起的二次手术,单或多器官衰竭,甚至死亡的情况。
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.
作者
施思
项金峰
徐近
虞先濬
SHI Si XIANG Jin-feng XU Jin et al(Department of Pancreatic Surgery, Fudan University Shanghai Cancer Cente Pancreatic Cancer Institute, Fudan University, Shanghai 200032, China)
出处
《中国实用外科杂志》
CSCD
北大核心
2017年第2期149-152,共4页
Chinese Journal of Practical Surgery
关键词
胰腺
术后胰瘘
分级系统
pancreas
postoperative pancreatic fistula
grading system
