Textbook outcomes in pancreatic surgery: a systematic review

Cirugia espanola Pub Date : 2026-07-01 Epub Date: 2026-03-19 DOI:10.1016/j.cireng.2026.800315

A. Sánchez-Mayoral Moris, A. Sarriugarte Lasarte, J. Larrea Oleaga, H. Marín Ortega, J. Uriarte González, M. Albiz Segurola, B. Villota Tamayo, M. San Martín Murillo, R. Saa Álvarez

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Abstract

Pancreatectomy is associated with high morbidity and mortality, making the evaluation of surgical outcomes essential. The textbook outcome in pancreatic surgery (TOPS) combines multiple quality metrics into a single composite endpoint, providing a more representative assessment of optimal surgical care.

Following PRISMA guidelines, a literature search was conducted for studies on postoperative TOPS after pancreatectomy, analyzing methodology, rates, associated factors, inter-hospital variability, and overall findings.

Of 82 publications identified, 18 observational studies were included, encompassing a total of 173.995 pancreatic resections. TOPS definitions were heterogeneous, and rates ranged from 17% to 70%. TOPS was associated with patient, hospital, and surgery-related factors.

This systematic review summarizes the contemporary international experience with TOPS as a patient-centered composite metric, suitable for quantifying “ideal” care and comparing outcomes among centers performing pancreatic surgery.

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胰腺手术的教科书结果：系统评价：教科书结果en Cirugía Pancreática: una revisión sistemática。

胰腺切除术与高发病率和死亡率相关，因此对手术结果的评估至关重要。胰腺手术的教科书结局（TOPS）将多个质量指标合并为单个复合终点，提供了更有代表性的最佳手术护理评估。遵循PRISMA指南，对胰腺切除术后TOPS的研究进行文献检索，分析方法、发生率、相关因素、医院间变异性和总体结果。在确定的82篇出版物中，纳入了18项观察性研究，共包括173.995例胰腺切除术。TOPS的定义各不相同，发生率从17%到70%不等。TOPS与患者、医院和手术相关因素相关。本系统综述总结了当前国际上将TOPS作为以患者为中心的综合指标的经验，适用于量化“理想”护理，并比较进行胰腺手术的中心之间的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cirugia espanola

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