Complications of percutaneous nephrolithotomy in the prone position according to modified Clavien-Dindo grading system

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

doi:10.1016/j.acuroe.2015.02.006

Cited by 3 publications

(2 citation statements)

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“…In 1992, Clavien et al (12) established the Clavien-Dindo (C-D) classification, a simple and feasible grading system for all types of postoperative complications. The C-D classification system is characterized by a consistent therapy-oriented, 4-level severity grading, discriminating overall PPCs, and has been increasingly applied to evaluate surgical practices (10,13,14). However, to the best of our knowledge, this grading system has not been used to evaluate PPCs in a large-sample cohort.…”

Section: Introductionmentioning

confidence: 99%

Use of Clavien‑Dindo classification in evaluating complications following pancreaticoduodenectomy in 1,056�cases: A retrospective analysis from one single institution

et al. 2018

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The Clavien-Dindo (C-D) classification is a simple and feasible grading system of postoperative complications. The aim of the present study was to apply this system to retrospectively classify all types of post-pancreaticoduodenectomy (PD) complications (PPCs) and to systematically identify associated risk factors. Between January 2009 and December 2014, the C-D classification was applied to retrospectively classify PPCs for 1,056 patients who had undergone PD at the West China Hospital. Univariate and multivariate analyses were performed to link perioperative parameters and mortality with the severity of PPCs, which were subdivided into overall PPCs (Grade I-V), severe PPCs (Grade III-V) and mortality (Grade V). The number of patients with Clavien-Dindo grade I, II, IIIa, IIIb, IVa, IVb and V complications was 185 (17.5%), 128 (12.1%), 50 (4.7%), 25 (2.4%), 35 (3.3%), 19 (1.8%) and 33 (3.1%), respectively. A total of 475 (45.0%) patients experienced overall PPCs; 168 (15.9%) patients experienced severe PPCs; and 33 patients succumbed to mortality following PD. The following risk factors were identified following PD: Preoperative hypoproteinemia was correlated with all three subdivisions; obstructive jaundice was associated with severe PPCs and mortality; and older age was revealed to be an independent risk factor of mortality. A large retrospective study was performed in the present study and PD was correlated with a high occurrence of PPCs. The Clavien-Dindo system represents a broad applicable and feasible approach to evaluating PPCs in patients following PD. The independent risk factors of PPCs that were identified in the present study require further validation using the Clavien-Dindo classification in additional prospective studies.

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Section: Introductionmentioning

confidence: 99%

Use of Clavien‑Dindo classification in evaluating complications following pancreaticoduodenectomy in 1,056�cases: A retrospective analysis from one single institution

et al. 2018

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“…28,29 Ya esa clasificación Clavien -Dindo fue validada en el 2009. 30 En los escenarios urológicos se usa ampliamente y es recomendada por guías internacionales como la EAU. 31 En el año 2012, la EAU categorizó y validó la clasificación Clavien -Dindo para NLP apoyándose en el estudio CROES (por sus siglas en inglés Clinical Research Office of the Endourological Society), lo que logró un consenso entre los urólogos.…”

Section: Riesgos Y Complicacionesunclassified

Historia y actualidad de las diferencias entre la posición prono y supino en nefrolitotomia percutánea

et al. 2018

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ResumenLa posición de decúbito prono se ha considerado la principal para el acceso percutáneo al riñón durante los últimos 25 años; mientras que la posición supina de Valdivia ha comenzado recientemente a ganar aceptación, aunque fue descrita originalmente en la década de 1980. Incluso, más recientemente, la posición supina Valdivia Galdakao - modificada fue descrita. Sin embargo, no hay consenso sobre cuál es la mejor posición para la nefrolitotomía percutánea y la elección se basa actualmente en la preferencia del cirujano. Este artículo tiene por objetivo revisar la evidencia sobre ambas técnicas quirúrgicas y dar elementos al lector para tomar decisiones. No hay diferencias en la tasa de éxito, entendida como tasa libre de cálculo entre las posiciones prono y supino. En prono hay mayor riesgo de sangrado y necesidad de transfusiones, así como mayor tiempo quirúrgico. La posición supina se ha descrito como más segura en pacientes con obesidad, enfermedades pulmonares restrictivas y alteraciones anatómicas óseas y de la vía urinaria.

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Postoperative sequelae of percutaneous nephrolithotomy

Yaseen

2023

KIDNEYS

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Background. Risk factors of postoperative complications during percutaneous nephrolithotomy (PCNL) include stone burden, the preoperative microbiological status of urine, comorbidity, age, operative time, intraoperative level of sterility, and antibiotic prophylaxis. The study aimed to assess the sequelae of these complications. Materials and methods. This retrospective study was conducted on patients treated by PCNL under fluoroscopic guidance for a one-year duration. The demographic data, body mass index, stone burden, stone density, number, duration of surgery, and postoperative complications were recorded. Results. Out of 50 patients, 32 (64 %) developed a fever. White blood cell count was significantly high among those patients. The age of the patients, gender, body mass index, and hospital stay were insignificant variables. Stone burden, prolonged surgery duration, prone position during surgery, and the use of pneumatic lithotripsy were significant variables. Conclusions. Increased stone burden, prolonged duration of surgery, prone position, and pneumatic lithotripsy during PCNL are significant risk factors for developing postoperative complications, mainly fever.

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Complications of percutaneous nephrolithotomy in the prone position according to modified Clavien-Dindo grading system

Cited by 3 publications

References 8 publications

Use of Clavien‑Dindo classification in evaluating complications following pancreaticoduodenectomy in 1,056�cases: A retrospective analysis from one single institution

Use of Clavien‑Dindo classification in evaluating complications following pancreaticoduodenectomy in 1,056�cases: A retrospective analysis from one single institution

Historia y actualidad de las diferencias entre la posición prono y supino en nefrolitotomia percutánea

Postoperative sequelae of percutaneous nephrolithotomy

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