Complicaciones de la nefrolitotomía percutánea en decúbito prono de acuerdo a la clasificación de Clavien-Dindo modificada

Torrecilla, Carlos; Vicéns-Morton, A.J.; Meza, I.A.; Colom, S.; Etcheverry, Begoña; Suárez, Helena Vila; Franco, E

doi:10.1016/j.acuro.2014.07.006

Cited by 10 publications

(3 citation statements)

References 7 publications

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“…La tasa de complicaciones tipo III, son similares a las obtenidas por otros autores en la nefrolitotomía percutánea, y no se obtienen tasas de complicaciones mayores tipo IV . (10) La tasa de mortalidad descritas para la NLP son del 1%.…”

Section: Discussionunclassified

Tratamiento de la litiasis coraliforme con Litroticia extracorpórea por ondas de choque. Análisis de nuestra serie en 20 años

Alcaraz

Molina-Díaz

Caballero-Cobos

2020

rmu

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Objetivo: Evaluar la efectividad y las complicaciones del tratamiento con litotricia extracorpórea por ondas de choque (LEOC) en litiasis coraliformes. Diseño: Estudio observacional retrospectivo de litiasis coraliformes tratadas con LEOC en el Hospital Regional Universitario de Málaga entre los años 1990 y 2010. Resultados: Se incluyeron 157 pacientes sometidos a LEOC de litiasis coraliforme, 136 mujeres y 21 hombres. El número medio de sesiones para la fragmentación fue de 3,39± 1.94, el número de ondas de 10066.67±6182.96, la intensidad media de 16,24±12.37, la energía acumulada media de 402.69±182.07 y el tiempo de resolución de 7.59±7.97 meses. De los pacientes analizados, 106 quedaron libres de litiasis y 51 presentaron fragmentos residuales pequeños; sólo 12 tuvieron recidiva litiásica. La mortalidad fue del 0%. Las complicaciones según Clavien-Dindo fueron un 10% de tipo IIIb, 18% tipo IIIa y 3,31% tipo II. El coeficiente de efectividad de Clayman fue de 0,49 si consideramos retratamiento cuando se necesita más de una sesión y 0,71 si se consideran todas las sesiones como un único tratamiento. Limitaciones del estudio: Al tratarse de un estudio observacional retrospectivo, las conclusiones obtenidas son relativas, dado que existe heterogeneidad entre pacientes, en lo referente a morfología de la vía urinaria, tamaño y composición de las litiasis. Originalidad o valor: LEOC en pacientes con múltiples comorbilidades, es una alternativa a la cirugía. Conclusiones: Aunque la LEOC no es el tratamiento de elección para los cálculos coraliformes, es una opción válida en casos determinados, siempre en función de la disponibilidad del centro y/o experiencia del urólogo.

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Section: Discussionunclassified

Tratamiento de la litiasis coraliforme con Litroticia extracorpórea por ondas de choque. Análisis de nuestra serie en 20 años

Alcaraz

Molina-Díaz

Caballero-Cobos

2020

rmu

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“…According to the Clavien-Dindo classification system 28 , the severity of postoperative complications was graded, and it was used as the outcome variable to explore the independent influencing factors of the severity of postoperative complications. According to the Clavien-Dindo grading System, the postoperative complications were classified as follows: Grade I, a drug intervention is not needed.…”

Section: Methodsmentioning

confidence: 99%

Preoperative communication with anesthetists via anesthesia service platform (ASP) helps alleviate patients’ preoperative anxiety

Peng

Yang

et al. 2020

Sci Rep

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Female gender has been identified as one of the risk factors closely linked to perioperative anxiety and a lower level of satisfaction. A successful preoperative anesthesia education may improve such negative outcomes. The aim of this study was to investigate whether preoperative anesthesia education via an Anesthesia Service Platform (ASP) could reduce the anxiety levels in female patients scheduled for laparoscopic cholecystectomy under general anesthesia, and accelerate rehabilitation. A total of 222 patients scheduled for elective laparoscopic cholecystectomy were randomly assigned to the control group and the ASP group. Patients’ baseline and post-intervention psychological status was measured by the State-Trait Anxiety Inventory and General Well-Being Schedule. Pain management and recovery were assessed by VAS every 12 h for 48 h after surgery; length of stay (LOS) and postoperative analgesic consumption were also assessed. Patients in the control group experienced higher anxiety levels before surgery and had longer LOS than those in the ASP group. Patients in the ASP group had a higher general well-being score; however, they suffered more pain and consumed more analgesics after surgery. ASP is effective for preventing anxiety in female patients before laparoscopic cholecystectomy, improving patients’ general well-being levels, and shortening their LOS, but negatively influences patients’ postoperative pain levels.

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“…However, terms such as minor and major are not standardized and therefore, an informative comparison of complications is difficult. To solve the above-mentioned problems, the modified Clavien system was proposed and was shown to be a reliable tool for more objective outcome comparisons after renal stone treatment [10,17,18,19]. …”

Section: Discussionmentioning

confidence: 99%

Predicting Outcomes after Minimally Percutaneous Nephrolithotomy with the Aid of a Patented System by Using the Guy's Stone Score

et al. 2016

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Objectives: At present, there is no report on the application of Guy's stone (GS) score in minimally invasive percutaneous nephrolithotomy (MPCNL). We therefore investigate the clinical effect of MPCNL by using a patented irrigation and clearance system according to the GS. Methods: A total of 222 consecutive patients were divided into 2 groups that were treated with MPCNL using the patented system or standard PCNL using Electro Medical System (EMS) ultrasound/ballistic trajectory lithotripsy and clearance system, respectively (124 patients in patented system group, 98 patients in EMS system group). The stone complexity and severity of complications were stratified by GS and Modified Clavien grading system in this study, respectively. The success and complication rates between MPCNL and PCNL were compared. Results: The patented system group had a significantly higher success rate (GS3: 95 vs. 43% and GS4: 67 vs. 31%) and a significantly less complications rate (GS3: 12 vs. 27% and GS4: 21 vs. 46%) in GS3 and GS4 compared with the EMS system group. Also, the patented system had significant lower complication rates in Clavien grades II-IV than that of the EMS system. Conclusion: The MPCNL using the patented irrigation and clearance system was more efficient in dealing with renal stones of high complexity (GS3-4).

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Complicaciones de la nefrolitotomía percutánea en decúbito prono de acuerdo a la clasificación de Clavien-Dindo modificada

Cited by 10 publications

References 7 publications

Tratamiento de la litiasis coraliforme con Litroticia extracorpórea por ondas de choque. Análisis de nuestra serie en 20 años

Tratamiento de la litiasis coraliforme con Litroticia extracorpórea por ondas de choque. Análisis de nuestra serie en 20 años

Preoperative communication with anesthetists via anesthesia service platform (ASP) helps alleviate patients’ preoperative anxiety

Predicting Outcomes after Minimally Percutaneous Nephrolithotomy with the Aid of a Patented System by Using the Guy's Stone Score

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