Background: PCNL is safe procedure which is well tolerated, but as with any other surgical procedure, it is associated with a specific set of complications. There is a marked heterogeneity in reporting complication rates in literature, and this problem was highlighted in Ad Hoc EAU guidelines panel who recommended urgent creation of uniform and reproducible quality system. Modified Dindo-Clavien grading system today is the most utilized classification for complications in urology, and standard in reporting complications for PCNL.
Aim(s): To analyze the complication rate for PCNL using the modified Dindo-Clavien grading system in our patients and literature review.
Methods: In our institution, with few breaks, PCNL was performed since mid 2010. Complication rate in 63 patients was analyzed retrospectively. Modified Dindo-Clavien grading system that is validated for PCNL has been accepted for classification of complication for PCNL, and literature review was performed. We have summarized the most significant factors which may affect the complication rate during and after PCNL.
Results: Overall complication rate was 30% in our study population. The most common complications observed were: postoperative fever Grade 1-2 (9.52%) and bleeding Grade l (7.9%), Grade 2 (3.17%), Grade 3a (4.76%) and Grade 3b (1.58%). Nephrostomy tube leakage was not found in our sample, mostly due to specific postoperative utilizing of auxiliary procedures.
Conclusion: Reporting of complication for PCNL should be uniform, and modified Dindo-Clavien grading system that is validated for PCNL should be accepted to be a standard in urology. Surgeons training and experience are the most important to ensure the efficacy of procedure, therefore we suggest that learning of percutaneous renal access should be mandatory in residents trainee program.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Article Synopsis
- Bernese periacetabular osteotomy (PAO) is a procedure that helps manage symptoms and slow down degeneration in patients with acetabular dysplasia, but many will eventually need total hip arthroplasty (THA).
- This study aims to analyze the clinical outcomes, complications, and longevity of implants in patients who have THA after previously undergoing ipsilateral PAO.
- The research included a review of 113 THA surgeries, showing significant improvement in patient outcomes post-operation, though 7.1% experienced major complications, with a general trend of early failures occurring around 3.2 years after THA.
Laparoscopic floppy Nissen fundoplication with valve calibration: a safe and efficient procedure.
Surg Today
September 2024
Department of Digestive and Hepato-Pancreato-Biliary Surgery, Hôpital Saint Antoine, Assistance Publique Hôpitaux de Paris, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France.
Purposes: A floppy Nissen fundoplication with valve calibration (FNF-VC) performed by laparotomy has been described, to reduce postoperative dysphagia and gas bloating after 360°-fundoplication. As laparoscopy is the gold standard for fundoplication, this study reports the first results of a modified FNF-VC adapted for laparoscopy (LFNF).
Methods: Seventy-two consecutive patients, who underwent LFNF for refractory GERD between 2012 and 2021, were included.
Modified dindo-clavien system for registration of perioperative complications in children undergoing adenotonsillectomy.
Front Pediatr
December 2022
Department of Otorhinolaryngology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Article Synopsis
- Surgical procedures such as adenotonsillectomy are common in children, and understanding perioperative complications is crucial for safety and documentation.
- The study involved a retrospective evaluation of 402 children, revealing 124 complications (93 mild, 31 severe) categorized using the Dindo-Clavien system.
- Significant associations with complications included factors like long-term medication, additional diagnoses, and surgical duration, with severe complications linked to premature birth and ASA scores, highlighting the need for careful monitoring in at-risk groups.
The five-factor modified frailty index predicts adverse postoperative and chemotherapy outcomes in gynecologic oncology.
Gynecol Oncol
July 2022
Division of Gynecologic Oncology, McMaster University and Juravinski Cancer Centre, 699 Concession Street, Hamilton, ON L8V5C2, Canada. Electronic address:
Introduction: Frailty is increasingly recognized as a predictor of postoperative morbidity and oncologic outcomes. Evidence of the predictive value of frailty assessment in gynecologic oncology remains sparse.
Objectives: To evaluate the National Surgical Quality Improvement Program (NSQIP) comorbidity-based modified Frailty Index-5 (mFI-5) as predictor of severe postoperative complications, non-completion of chemotherapy and other patient-centered outcomes in gynecologic oncology patients >70 years-old undergoing surgery.
Simultaneous Complex Incisional Hernia Repair and Bariatric Surgery for Obese Patients: a Case Series of a Single-Center Early Experience.
J Metab Bariatr Surg
December 2021
Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.
Purpose: Obesity is associated with recurrence of complex incisional hernia repair (CIHR). Bariatric procedure during CIHR can improve recurrence rates without increasing morbidity. This study aimed to describe our results after CIHR in patients with obesity, in which a simultaneous bariatric procedure was performed.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!