北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第一临床医学院  > 泌尿外科  > 期刊论文
学科主题: 临床医学
题名:
The Percutaneous Nephrolithotomy Global Study: Classification of Complications
作者: Labate, Gaston2; Modi, Pranjal; Timoney, Anthony3; Cormio, Luigi4; Zhang, Xiaochun5; Louie, Michael6; Grabe, Magnus7; de la Rosette, Jean1; CROES PCNL Study Grp
刊名: JOURNAL OF ENDOUROLOGY
发表日期: 2011-08-01
DOI: 10.1089/end.2011.0067
卷: 25, 期:8, 页:1275-1280
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Urology & Nephrology
研究领域[WOS]: Urology & Nephrology
关键词[WOS]: BODY-MASS INDEX ; SURGICAL COMPLICATIONS ; CLAVIEN CLASSIFICATION ; RADICAL PROSTATECTOMY ; STONE SIZE ; SURGERY ; PREDICTORS ; MANAGEMENT ; OUTCOMES ; CULTURE
英文摘要:

Purpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database.

Patients and Methods: The CROES PCNL Global Study collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. Complications were evaluated by the modified Clavien classification system.

Results: Of 5724 patients with Clavien scores, 1175 (20.5%) patients experienced one or more complications. The most frequent complications were fever and bleeding. Urinary leakage, hydrothorax, hematuria, urinary tract infection, pelvic perforation, and urinary fistula also occurred in >= 20 patients in each group. The majority of complications (n = 634, 54.0%) were classified as Clavien grade I. Two patients died in the postoperative period. The largest absolute increases in mean Clavien score were associated with American Society of Anesthesiologists (ASA) physical status classification IV (0.75) or III (0.34), anticoagulant medication use (0.29), positive microbiologic culture from urine (0.24), and the presence of concurrent cardiovascular disease (0.15). Multivariate regression analysis revealed that operative time and ASA score were significant predictors of higher mean Clavien scores.

Conclusion: The majority of complications after PCNL are minor. Longer operative time and higher ASA scores are associated with the risk of more severe postoperative complications in PCNL.

语种: 英语
项目资助者: Olympus
WOS记录号: WOS:000293514200009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63407
Appears in Collections:北京大学第一临床医学院_泌尿外科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.AMC Univ Hosp, Dept Urol, NL-1105 AZ Amsterdam ZO, Netherlands
2.Urosalud, Dept Urol, Buenos Aires, DF, Argentina
3.N Bristol NHS Trust, Dept Urol, Bristol, Avon, England
4.Univ Foggia, Dept Urol, Foggia, Italy
5.Peking Univ, Hosp 1, Dept Urol, Beijing 100871, Peoples R China
6.Univ Calif Irvine, Dept Urol, Irvine, CA USA
7.Skane Univ Hosp, Dept Urol, Malmo, Sweden

Recommended Citation:
Labate, Gaston,Modi, Pranjal,Timoney, Anthony,et al. The Percutaneous Nephrolithotomy Global Study: Classification of Complications[J]. JOURNAL OF ENDOUROLOGY,2011,25(8):1275-1280.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Labate, Gaston]'s Articles
[Modi, Pranjal]'s Articles
[Timoney, Anthony]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Labate, Gaston]‘s Articles
[Modi, Pranjal]‘s Articles
[Timoney, Anthony]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace