摘要胰腺手术是腹部外科较复杂的一类手术,对技术要求高,学习曲线长,手术质量与患者的预后直接相关。近年来,越来越多的指标被用于胰腺手术质量的评估,如手术时间、术中出血量、术后并发症发生率、预后等,并在此基础上形成了不同的评估体系,如手术基准、数据库审计、基于危险因子校正的结果评价、教科书结果等,其中手术基准是应用最广泛的方法,并有望成为各研究结果进行比较的标准。本文就现有的胰腺手术质量评估指标和手术基准进行简单总结,并对其应用前景进行展望。
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abstractsPancreatic surgery is the most complex type of abdominal surgery,with high technical requirements and long learning curve,and the quality of surgery is directly related to the prognosis of the patients. In recent years,more and more indicators have been used to evaluate the quality of pancreatic surgery,such as operation time,intraoperative blood loss,morbidity,mortality, prognosis and so on,and different evaluation systems have been established,including benchmarking,auditing,outcome evaluation based on risk factor adjustment and textbook outcomes. Among them,the benchmark is the most widely used to evaluate surgical quality and is expected to become the standard for comparison among peers. This article reviews existing quality evaluation indicators and benchmarks for pancreatic surgery and anticipates its future application prospects.
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