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Complications of percutaneous nephrolithotomy in the prone position according with modified Clavien-Dindo grading system.
- Source :
-
Actas urologicas espanolas [Actas Urol Esp] 2015 Apr; Vol. 39 (3), pp. 169-74. Date of Electronic Publication: 2014 Oct 28. - Publication Year :
- 2015
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Abstract
- Introduction: Clavien-Dindo classification system has been proposed to grade perioperative complications in percutaneous nephrolithotomy. The complications of this technique that have taken place in the last 2 years are reported in this paper according Clavien-Dindo classification.<br />Materials and Methods: Between 2011 and 2012 a total of 255 percutaneous nephrolithotomy were performed at our center for stones more than 2 cm in size. In order to determine the incidence of complications classified in the modified Clavien-Dindo system, statistical analysis of the data obtained was carried out.<br />Results: During the period analyzed, 255 percutaneous nephrolithotomy were performed in 249 patients, 41% of the right side, 57% of the left side and 2% bilateral and simultaneous. 137 and 112 patients were males and females, respectively. The most prevalent comorbidities were: hypertension (AHT) in 101 patients (40.6%), BMI>30 in 81 patients (32%), diabetes mellitus in 46 patients (18.5%) and coagulation abnormalities in 24 patients (9.6%). A total of 70 cases (27.4%) were distributed according to Clavien-Dindo classification: grade i, 8.4%, grade ii 8.4%, grade iiia 4.4%, grade iiib 6% grade iva .8%, grade ivb: 0% and grade v 0%.<br />Conclusions: A graded classification scheme for reporting the complications of percutaneous nephrolithotomy is useful for monitoring and reporting outcomes. We propose a standardized use of this classification in order to make the results comparable among different centers performing the technique.<br /> (Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Blood Coagulation Disorders epidemiology
Comorbidity
Diabetes Mellitus epidemiology
Female
Humans
Hypertension epidemiology
Male
Middle Aged
Nephrolithiasis epidemiology
Nephrolithiasis surgery
Nephrostomy, Percutaneous methods
Obesity epidemiology
Postoperative Complications etiology
Prospective Studies
Young Adult
Nephrostomy, Percutaneous adverse effects
Postoperative Complications classification
Prone Position
Severity of Illness Index
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 1699-7980
- Volume :
- 39
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Actas urologicas espanolas
- Publication Type :
- Academic Journal
- Accession number :
- 25442909
- Full Text :
- https://doi.org/10.1016/j.acuro.2014.07.006