Establishment of the quality assessment system for pancreatic cancer surgery: from "single complication assessment" to "textbook outcome"
10.3760/cma.j.cn112139-20230308-00097
- VernacularTitle:胰腺癌手术质量评估系统的建立：从单并发症评估到教科书式结局
- Author:
Lingyu ZHU
1
;
Shiwei GUO
;
Gang JIN
Author Information
1. 海军军医大学附属长海医院胰腺肝胆外科，上海 200433
- Keywords:
Pancreatic neoplasms;
Surgical procedures,operative;
Surgical complications;
Neoadjuvant therapy;
Textbook outcome
- From:
Chinese Journal of Surgery
2023;61(10):833-838
- CountryChina
- Language:Chinese
-
Abstract:
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.
