Evaluation of POSSUM for Patients Undergoing Pancreatoduodenectomy

Abstract

The new score, named PS-POSSUM (POSSUM in pancreatic surgery), fits the data better. However, the prediction ability remains rather poor. PS-POSSUM may still be helpful, as it draws attention to additional risk and protective factors in addition to those in the original POSSUM score.

Evaluation of the New ISGLS Definitions of Typical Posthepatectomy Complications

“…The complication rate is commonly used to compare the performances of surgical centers but also to compare the results of surgical clinical trials (12). Unclear definitions of complications render the assessment of trials or surgical performances difficult.…”

Accurate prediction of severe postoperative complications after pancreatic surgery: POSSUM vs E‐PASS

“…On the other hand, E‐PASS was developed in Japan in 1999 for the prediction of PCs in elective gastrointestinal surgeries including laparoscopic surgeries 2 . Both tools are useful for predicting the occurrence of PCs after pancreatic surgery 3–11 . However, only a few studies have directly compared the accuracy between POSSUM and E‐PASS in pancreatic surgery 3 …”

“…2 Both tools are useful for predicting the occurrence of PCs after pancreatic surgery. [3][4][5][6][7][8][9][10][11] However, only a few studies have directly compared the accuracy between POSSUM and E-PASS in pancreatic surgery. 3 Recent advancements in surgical technologies such as the use of energy devices intraoperatively has led to the simplification of operative procedures and a reduction of complications such as intraoperative bleeding.…”

A simplified scoring system for the prediction of pancreatoduodenectomy's complications

“…In conclusion, further improvement is needed for POSSUM to become a better tool for the prediction of PCPD. [25,28]…”