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学科主题临床医学
The Percutaneous Nephrolithotomy Global Study: Classification of Complications
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
2011-08-01
DOI10.1089/end.2011.0067
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
WOS记录号WOS:000293514200009
资助机构Olympus
引用统计
被引频次:88[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63407
专题北京大学第一临床医学院_泌尿外科
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
推荐引用方式
GB/T 7714
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.
APA Labate, Gaston.,Modi, Pranjal.,Timoney, Anthony.,Cormio, Luigi.,Zhang, Xiaochun.,...&CROES PCNL Study Grp.(2011).The Percutaneous Nephrolithotomy Global Study: Classification of Complications.JOURNAL OF ENDOUROLOGY,25(8),1275-1280.
MLA Labate, Gaston,et al."The Percutaneous Nephrolithotomy Global Study: Classification of Complications".JOURNAL OF ENDOUROLOGY 25.8(2011):1275-1280.
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