A Model for Assessment of Peri-Operative Outcomes Following Hepato-Pancreatic and Biliary Surgery

Hepato-pancreatic and biliary surgery is associated with significant morbidity and mortality. A large number of these complications can be avoided and promote better outcomes. Peri-operative complications can have significant impact on the overall cost of the procedure. Number of steps can be adopted in the post-procedure phase with accurate documentation, stratification, classification and categorisation of complications. This will help to monitor departmental surgical outcomes and necessary steps that can be adopted to improve patient safety. This study will aim to propose a structure to record post-operative surgical complications following hepato-pancreatic and biliary (HPB) surgery. This record keeping and reflection will help to improve patient care and outcome.

[1]  T. Pawlik,et al.  Cost of Major Complications After Liver Resection in the United States: Are High-volume Centers Cost-effective? , 2017, Annals of surgery.

[2]  C. Bassi,et al.  Postoperative infections represent a major determinant of outcome after pancreaticoduodenectomy: Results from a high‐volume center , 2017, Surgery.

[3]  D. Gouma,et al.  The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After , 2017, Surgery.

[4]  C. Moulton,et al.  Effect of Pancreatic Fistula on Recurrence and Long-Term Prognosis of Periampullary Adenocarcinomas after Pancreaticoduodenectomy , 2016, The American surgeon.

[5]  S. Barreto,et al.  The cost of Pancreatoduodenectomy - An analysis of clinical determinants. , 2016, Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.].

[6]  J. Roukema,et al.  The impact of complications on quality of life following colorectal surgery: a prospective cohort study to evaluate the Clavien–Dindo classification system , 2016, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[7]  I. B. Borel Rinkes,et al.  Health‐related quality of life after pancreatic resection for malignancy , 2016, The British journal of surgery.

[8]  G. Spolverato,et al.  Impact of complications on long‐term survival after resection of intrahepatic cholangiocarcinoma , 2015, Cancer.

[9]  B. Ammori,et al.  Early Experience with a Hepatobiliary and Pancreatic Quality Improvement Program , 2013, BMJ quality improvement reports.

[10]  T. Pawlik,et al.  Impact of complications on long‐term survival after resection of colorectal liver metastases , 2013, The British journal of surgery.

[11]  B. Diggs,et al.  Complications nearly double the cost of care after pancreaticoduodenectomy. , 2012, American journal of surgery.

[12]  Jürgen Weitz,et al.  Post-hepatectomy haemorrhage: a definition and grading by the International Study Group of Liver Surgery (ISGLS). , 2011, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[13]  M. Koch,et al.  Bile leakage after hepatobiliary and pancreatic surgery: a definition and grading of severity by the International Study Group of Liver Surgery. , 2011, Surgery.

[14]  Jürgen Weitz,et al.  Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). , 2011, Surgery.

[15]  C. Bassi,et al.  Delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy: validation of International Study Group of Pancreatic Surgery classification and analysis of risk factors. , 2010, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[16]  Abe Fingerhut,et al.  Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. , 2007, Surgery.

[17]  J. Sanabria,et al.  Proposed classification of complications of surgery with examples of utility in cholecystectomy. , 1992, Surgery.