【胰腺癌症手术质量评估体系的建立:从“单一并发症评估”到“教科书式结果”】。

L Y Zhu, S W Guo, G Jin
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引用次数: 0

摘要

随着新辅助治疗和多学科团队的发展,癌症的治疗逐渐从“切除”扩大到“治愈”。“根治性切除术”作为患者综合治疗模式的核心部分,其质量直接决定短期疗效,影响长期预后。以前,“单一并发症评估”模型用于衡量癌症胰腺癌手术的质量。然而,任何特定并发症的发生率都不能涵盖整个手术过程,因此很难量化和标准化对结果的解释。最近,教科书结果这一综合指标的概念在外科研究中越来越受欢迎。教科书结果包括多个并发症参数,并反映了“全有或无”方法的最佳手术结果。实施注重教科书结果的质量改进计划将提高复杂手术的总体标准,最终推进未来癌症的手术治疗。本文分析了相关研究的最新进展,以简要概述癌症的教科书结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Establishment of the quality assessment system for pancreatic cancer surgery: from "single complication assessment" to "textbook outcome"].

With the development of neoadjuvant therapy and a multidisciplinary team, the treatment of pancreatic cancer has gradually expanded from "resection" to "cure"."Curative resection" as the core part of the integrated treatment model for patients, its quality directly determines the short-term outcome and affects the long-term prognosis. Previously, the "single complication assessment" model was used to measure the quality of pancreatic cancer surgery. However, the incidence of any specific complication cannot cover the entire surgical procedure, making it difficult to quantify and standardize the interpretation of the outcomes. Recently, the concept of textbook outcome, a comprehensive indicator, has gained popularity in surgical research. Textbook outcome includes multiple complication parameters and reflects optimal surgical outcomes in an "all or none" approach. Implementing a quality improvement program that focuses on textbook outcome will increase the overall standard of complex surgery, ultimately advancing the surgical care of pancreatic cancer in the future. In this article, the latest advances in relevant research are analyzed to provide a brief overview of the textbook outcome of pancreatic cancer.

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