Article
Urology & Nephrology
Marco Bandini, Guido Barbagli, Riccardo Leni, Giuseppe O. Cirulli, Giuseppe Basile, Sofia Balo, Francesco Montorsi, Salvatore Sansalone, Andrea Salonia, Alberto Briganti, Denis Butnaru, Massimo Lazzeri
Summary: Complications after urethroplasty were common events, but rarely with severe sequelae. Infectious were the most common complications and perineostomy was the type of urethroplasty with the highest rate of complications. Application of EAU recommendations led to the identification of a higher number of complications compared to previous reports based on unsupervised chart review.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Malte W. Vetterlein, Maria-Josephina Buhne, Hang Yu, Jakob Klemm, Markus von Deimling, Philipp Gild, Mara Koelker, Roland Dahlem, Margit Fisch, Armin Soave, Michael Rink
Summary: This retrospective study analyzed the postoperative morbidity of 97 patients with benign bladder diseases. The results showed that concomitant subtrigonal cystectomy (SC) and abdominopelvic radiotherapy did not increase the occurrence of complications in the perioperative period.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Otorhinolaryngology
Ashley Stone, Sydney T. Jiang, Maximilian C. Stahl, Christina J. Yang, Richard V. Smith, Vikas Mehta
Summary: This study aimed to develop and evaluate a classification system for adverse events reporting across different medical and surgical subspecialties and assess interrater agreement. The study found that the new classification scheme was applicable to a wide range of clinical scenarios and focused on patient-centered outcomes, including near miss events.
JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY
(2023)
Article
Surgery
Shuyan Wei, Aiat Radwan, Krislynn M. Mueck, Charlie Wan, David Q. Wan, Stefanos G. Millas, Tien C. Ko, John B. Holcomb, Charles E. Wade, David N. Naumann, Lillian S. Kao
Summary: This study validates the adapted Clavien-Dindo in trauma (ACDiT) tool as a novel outcome measure for patients with acute diverticulitis managed both operatively and nonoperatively. The ACDiT tool, graded from 0 to 5b, was successfully applied to acute diverticulitis patients and showed associations with known risk factors for adverse outcomes. ACDiT may be considered a meaningful outcome measure for comparing strategies for acute diverticulitis.
Article
Dentistry, Oral Surgery & Medicine
Delong Li, Qifang Niu, Chong Wang, Wei Wei, Bo Li, Huan Liu, Ranran Xiao, Hao Wang, Qiaoshi Xu, Zhengxue Han, Zhien Feng
Summary: The study aimed to validate and evaluate the comprehensive complication index (CCI) as a measure of postoperative complications (POCs) in the patients with head and neck squamous cell carcinoma (HNSCC) who had undergone free-flap reconstruction. The results showed that CCI can be used more accurately to evaluate POCs of free-flap reconstruction in patients with HNSCC, including short- and long-term outcome prediction and risk factor identification.
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY
(2023)
Article
Surgery
Zheng-yan Li, Yong-liang Zhao, Feng Qian, Bo Tang, Jun Chen, Fan Zhang, Ping-ang Li, Zi-yan Luo, Yan Shi, Pei-wu Yu
Summary: The study found that RG is a safe and feasible surgical procedure for treating gastric cancer, with an acceptable postoperative complication rate. Elderly patients and lack of surgeon experience were identified as major risk factors for postoperative complications. Surgeons are advised to select patients in good condition during the learning phase to reduce complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Clinical Neurology
Martina Seboek, Patricia Blum, Johannes Sarnthein, Jorn Fierstra, Menno R. Germans, Carlo Serra, Niklaus Krayenbuehl, Luca Regli, Giuseppe Esposito
Summary: Microsurgery is important in managing unruptured intracranial aneurysms (UIAs). The Clavien-Dindo classification system, which rates deviations from normal postoperative course, was found to be applicable in patients undergoing microsurgery for UIAs. Patients with complex aneurysms had a higher risk of developing new neurological deficits.
NEUROSURGICAL FOCUS
(2021)
Article
Urology & Nephrology
K. F. Kowalewski, D. Mueller, J. Muehlbauer, J. D. Hendrie, T. S. Worst, F. Wessels, M. T. Walach, J. von Hardenberg, P. Nuhn, P. Honeck, M. S. Michel, M. C. Kriegmair
Summary: The study validates the use of Comprehensive Complication Index (CCI) in urological surgery and demonstrates its superiority over the Clavien-Dindo classification. CCI was more accurate in predicting length of stay after radical cystectomy (RC) compared to Clavien, and also resulted in reduction of required sample sizes for future hypothetical trials for all procedures.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Surgery
Muserref Beril Dincer, Meltem Merve Guler, Ali Fuat Kaan Gok, Mehmet Ilhan, Mukadder Orhan-Sungur, Tulay Ozkan-Seyhan, Ahmet Kemalettin Koltka
Summary: The study found that while the MeNTS scoring system had significance, it had limited discriminating power in identifying patients with moderate/severe complications. Incorporating a measure of cardiovascular functional capacity in preoperative assessment may enhance the scoring system.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2021)
Article
Oncology
Lianne Triemstra, Cas de Jongh, Fabrizio Tedone, Lodewijk A. A. Brosens, Misha D. P. Luyer, Jan H. M. B. Stoot, Sjoerd M. Lagarde, Richard van Hillegersberg, Jelle P. Ruurda
Summary: This study evaluated the additional value of the Comprehensive Complication Index (CCI) in assessing complications after gastric cancer surgery compared to the Clavien-Dindo Classification (CDC). The results showed that both CCI and CDC showed moderate positive correlations for hospitalization and reoperations, and weak correlations for ICU-stay. However, implementing CCI did not provide any clinically relevant benefit compared to CDC and caused additional workload.
Review
Urology & Nephrology
Lazaros Tzelves, Robert Geraghty, Panagiotis Mourmouris, Nikolaos Chatzikrachtis, Markos Karavitakis, Bhaskar Somani, Andreas Skolarikos
Summary: This study analyzed the occurrence of shockwave lithotripsy (SWL) complications in 17,000 patients. The results showed that larger caseloads, the use of electrohydraulic lithotripters, treatment of multiple or complex stones, and longer SWL duration were associated with higher rates of complications.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Oncology
Sufana H. Alsaif, Ailin C. Rogers, Priscilla Pua, Paul T. Casey, Geoff G. Aherne, Ann E. Brannigan, Jurgen J. Mulsow, Conor J. Shields, Ronan A. Cahill
Summary: The aim of the study was to evaluate the predictive value of preoperative CRP and other inflammatory markers on postoperative morbidity in colorectal surgery patients. Elevated preoperative CRP was found to be significantly predictive of all-cause mortality and severe complications, highlighting the importance of preoperative assessment of inflammatory markers.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2021)
Review
Urology & Nephrology
Nikolaos Chatzikrachtis, Lazaros Tzelves, Robert Geraghty, Ioannis Manolitsis, Patrick Juliebo-Jones, Amelia Pietropaolo, Markos Karavitakis, Marinos Berdempes, Titos Markopoulos, Bhaskar Somani, Andreas Skolarikos
Summary: This systematic review and meta-analysis provided a pooled analysis of Clavien-Dindo graded complications after shockwave lithotripsy (SWL) in children. The results showed that 27.7% of children experienced Clavien I complications, 4.9% experienced Clavien II complications, 2.7% experienced Clavien III complications, 2.3% experienced Clavien IV complications, and no Clavien V complications were recorded. Overall, 28.1% of children suffered minor complications (Clavien-Dindo I-II), while 3% suffered major complications (Clavien-Dindo III-V). Additionally, various complications such as macroscopic hematuria, pain, steinstrasse, fever, sepsis, urinoma, symptomatic hematoma, and asymptomatic hematoma were identified, and a certain proportion of children required re-treatment and auxiliary procedures.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Gastroenterology & Hepatology
Oskar Swartling, Marie Evans, Patrik Larsson, Stefan Gilg, Marcus Holmberg, Fredrik Klevebro, Ernesto Sparrelid, Poya Ghorbani
Summary: Background: Acute kidney injury (AKI) is known to increase morbidity and mortality after general surgery, but its association with pancreatoduodenectomy outcomes is unclear. This study aimed to investigate the relationship between AKI and postoperative complications and death after pancreatoduodenectomy. Methods: All patients aged 18 years or older who underwent pancreatoduodenectomy at a university hospital in Stockholm, Sweden, between 2008 and 2019 were included. AKI was graded using standardized criteria such as estimated glomerular filtration rate (eGFR) and urine volume measurements. Results: Of the 970 patients included, 137 (14.1%) developed postoperative AKI. Risk factors for AKI included lower preoperative eGFR, cardiovascular disease, and treatment with renin-angiotensin system inhibitors or diuretics. Patients with AKI had a higher risk of severe postoperative complications and death within 30 days or 90 days. Furthermore, patients with benign histology and AKI had increased 1-year mortality. Conclusions: Postoperative AKI after pancreatoduodenectomy is associated with significant complications and an increased risk of mortality. Monitoring serum creatinine levels and urine output in the immediate perioperative period may improve outcomes.
Article
Urology & Nephrology
Luca Boeri, Matteo Turetti, Carlo Silvani, Irene Fulgheri, Letizia Maria Ippolita Jannello, Susanna Garbagnati, Matteo Malfatto, Gilda Galbiati, Efrem Pozzi, Stefano Paolo Zanetti, Fabrizio Longo, Elisa De Lorenzis, Giancarlo Albo, Andrea Salonia, Emanuele Montanari
Summary: The study aimed to validate the comprehensive complication index (CCI) for mini-percutaneous nephrolithotomy (mPCNL), analyzing data from 287 patients. Results showed that CCI was a better predictor of length of stay (LOS) after mPCNL compared to the Clavien-Dindo classification (CDC). Patients with multiple complications had longer LOS and higher readmission rate compared to those with single complications.
WORLD JOURNAL OF UROLOGY
(2022)