作者
Patricia Sánchez-Velázquez, Xavier Muller, Giuseppe Malleo, Joon-Seong Park, Ho-Kyoung Hwang, Niccolò Napoli, Ammar A Javed, Yosuke Inoue, Nassiba Beghdadi, Marit Kalisvaart, Emanuel Vigia, Carrie D Walsh, Brendan Lovasik, Juli Busquets, Chiara Scandavini, Fabien Robin, Hideyuki Yoshitomi, Tara M Mackay, Olivier R Busch, Hermien Hartog, Stefan Heinrich, Ana Gleisner, Julie Perinel, Michael Passeri, Nuria Lluis, Dimitri A Raptis, Christoph Tschuor, Christian E Oberkofler, Michelle L DeOliveira, Henrik Petrowsky, John Martinie, Horacio Asbun, Mustapha Adham, Richard Schulick, Hauke Lang, Bas Groot Koerkamp, Marc G Besselink, Ho-Seong Han, Masaru Miyazaki, Cristina R Ferrone, Carlos Fernández-del Castillo, Keith D Lillemoe, Laurent Sulpice, Karim Boudjema, Marco Del Chiaro, Joan Fabregat, David A Kooby, Peter Allen, Harish Lavu, Charles J Yeo, Eduardo Barroso, Keith Roberts, Paolo Muiesan, Alain Sauvanet, Akio Saiura, Christopher L Wolfgang, John L Cameron, Ugo Boggi, Dong-Sup Yoon, Claudio Bassi, Milo A Puhan, Pierre-Alain Clavien
发表日期
2019/8/1
期刊
Annals of surgery
卷号
270
期号
2
页码范围
211-218
出版商
LWW
简介
Objective:
To use the concept of benchmarking to establish robust and standardized outcome references after pancreatico-duodenectomy (PD).
Background:
Best achievable results after PD are unknown. Consequently, outcome comparisons among different cohorts, centers or with novel surgical techniques remain speculative.
Methods:
This multicenter study analyzes consecutive patients (2012–2015) undergoing PD in 23 international expert centers in pancreas surgery. Outcomes in patients without significant comorbidities and major vascular resection (benchmark cases) were analyzed to establish 20 outcome benchmarks for PD. These benchmarks were tested in a cohort with a poorer preoperative physical status (ASA class≥ 3) and a cohort treated by minimally invasive approaches.
Results:
Two thousand three hundred seventy-five (38%) low-risk cases out of a total of 6186 PDs were analyzed, disclosing low …
引用总数
20192020202120222023202482643558043
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