《胰腺术后外科常见并发症诊治及预防的专家共识（2017）》胰瘘部分更新介绍及解读

Updates and analyzation of postoperative pancreatic fistula system of consensus statement on the diagnosis,treatment,and prevention of common complications after pancreatic surgery（2017）

2017年,国内20余名胰腺外科专家经过多次讨论,结合我国实际情况对2010版《胰腺术后外科常见并发症的预防及治疗的专家共识》进行了更新和发布,其中胰瘘章节参考了国际胰瘘研究小组2016版的术后胰瘘定义和分级系统,根据是否混有其他消化液,将胰瘘分为单纯瘘和混合瘘,并提出了胰瘘的预防要点和手术治疗策略.本文主要对2017版共识更新的必要性、更新的要点与存在的争议进行解读.

In 2017,following many thorough discussions, considering Chinese actual situation, more than 20 distinguished pancreatic surgeons brought about an update of the previous 2010 Chinese experts′ consensus on the prevention and treatment of common complications after pancreatic surgery. Referred to the latest update of the postoperative pancreatic fistula consensus statement by the International Study Group of Pancreatic Surgery, the postoperative pancreatic fistula system of 2017 version Chinese consensus divided pancreatic fistula into pure fistula and mixed fistula based on whether other digestive fluid is mixed or not. The new version also presents key points of pancreatic fistula prevention and surgical strategy. In the paper,the authors analyzed the necessity, essentials and controversy of the update.