Predictive Value of POSSUM and P-POSSUM Scoring System for Risk Assessment in Laparoscopic Pancreatoduodenectomy

• Published in: Sichuan da xue xue bao. Journal of Sichuan University. Yi xue ban Vol. 50; no. 3; p. 429
• Main Authors: Cai, He, Wang, Xin, Cai, Yun-Qiang, Li, Yong-Bin, Meng, Ling-Wei, Peng, Bing
• Format: Journal Article
• Language: Chinese
• Published: China 01.05.2019
• Subjects: China; Female; Humans; Laparoscopy - adverse effects; Male; Morbidity; Mortality; Pancreaticoduodenectomy - adverse effects; Postoperative Complications - diagnosis; Predictive Value of Tests; Retrospective Studies; Risk Assessment; Severity of Illness Index; China; P-POSSUM scoring system; POSSUM scoring system; Laparoscopic pancreatoduodenectomy; Complications rate; Mortality
• ISSN: 1672-173X

To evaluate the clinical predictive ability of POSSUM and P-POSSUM scoring system in laparoscopic pancreatoduodenectomy (LPD). There were 132 consecutive LPD performed in West China Hospital of Sichuan University from February 2014 to July 2017. The clinical data were retrospective collected, including 12 preoperative physiological variables, 6 operative severity variables, and complications and mortality The postoperative expected mortality and morbidity were calculated by POSSUM and P-POSSUM score, and compared with measured morbidity and mortality. The clinical predictive ability of POSSUM and P-POSSUM system was evaluated by the receiver operating characteristic (ROC) curve and hierarchical analysis. The area under ROC curve ( ) was 0.83. The preoperative physiological score (PS) and POSSUM score of the patients with complications were higher, and the difference was statistically significant ( <0.01). For the prediction of complications after LPD, the expected value was the most accurate to the measured v