关键词: 胰腺, 术后胰瘘, 分级系统

Abstract:

Updates and interpretations of PODF definition and grading system (2016 edition) by ISGPS        SHI Si, XIANG Jin-feng, XU Jin, et al. Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center; Pancreatic Cancer Institute, Fudan University, Shanghai 200032, China
Corresponding author: YU Xian-jun, E-mail: yuxianjun@
fudanpci.org
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.

Key words: pancreas, postoperative pancreatic fistula, grading system