Standardizing the reporting of percutaneous nephrolithotomy complications

Accurate reporting of complications is an essential component to critical appraisal and innovation in surgery and specifically with percutaneous nephrolithotomy (PCNL). We review the evolution of complication reporting for PCNL and suggest future directions for innovation. A selective review was car...

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Main Authors: Philippe D Violette, John D Denstedt
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Urology
Subjects:
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=1;spage=84;epage=91;aulast=Violette
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author Philippe D Violette
John D Denstedt
author_facet Philippe D Violette
John D Denstedt
author_sort Philippe D Violette
collection DOAJ
description Accurate reporting of complications is an essential component to critical appraisal and innovation in surgery and specifically with percutaneous nephrolithotomy (PCNL). We review the evolution of complication reporting for PCNL and suggest future directions for innovation. A selective review was carried out using Pubmed. Key search terms and their combinations included percutaneous, anatrophic, nephrolithotomy, PCNL, complications, Clavien, Martin score, bleeding, bowel injury, perforation, fever, sepsis. The references from relevant papers and reviews as well as AUA and EAU guidelines were also scanned for inclusion. PCNL has become the procedure of choice for large renal stones owing to decreased morbidity over alternative procedures. Both common and rare complications have been described in large case series, small randomized controlled trials, and case reports in an unstandardized form. Although these reports have provided an informative starting point, a standardized complication reporting methodology is necessary to enable appropriate comparisons between institutions, time periods, or innovations in technique. The Clavien-Dindo grading system has become widely accepted in urology and has facilitated the study of PCNL complications. Future research should focus on adaptions of this system to render it more comprehensive and applicable to PCNL.
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spelling doaj.art-3982015d773f43f3a7431e877e40e2632022-12-21T23:51:55ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242014-01-01301849110.4103/0970-1591.124213Standardizing the reporting of percutaneous nephrolithotomy complicationsPhilippe D VioletteJohn D DenstedtAccurate reporting of complications is an essential component to critical appraisal and innovation in surgery and specifically with percutaneous nephrolithotomy (PCNL). We review the evolution of complication reporting for PCNL and suggest future directions for innovation. A selective review was carried out using Pubmed. Key search terms and their combinations included percutaneous, anatrophic, nephrolithotomy, PCNL, complications, Clavien, Martin score, bleeding, bowel injury, perforation, fever, sepsis. The references from relevant papers and reviews as well as AUA and EAU guidelines were also scanned for inclusion. PCNL has become the procedure of choice for large renal stones owing to decreased morbidity over alternative procedures. Both common and rare complications have been described in large case series, small randomized controlled trials, and case reports in an unstandardized form. Although these reports have provided an informative starting point, a standardized complication reporting methodology is necessary to enable appropriate comparisons between institutions, time periods, or innovations in technique. The Clavien-Dindo grading system has become widely accepted in urology and has facilitated the study of PCNL complications. Future research should focus on adaptions of this system to render it more comprehensive and applicable to PCNL.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=1;spage=84;epage=91;aulast=VioletteClaviencomplicationsoutcomespercutaneous nephrolithotomy
spellingShingle Philippe D Violette
John D Denstedt
Standardizing the reporting of percutaneous nephrolithotomy complications
Indian Journal of Urology
Clavien
complications
outcomes
percutaneous nephrolithotomy
title Standardizing the reporting of percutaneous nephrolithotomy complications
title_full Standardizing the reporting of percutaneous nephrolithotomy complications
title_fullStr Standardizing the reporting of percutaneous nephrolithotomy complications
title_full_unstemmed Standardizing the reporting of percutaneous nephrolithotomy complications
title_short Standardizing the reporting of percutaneous nephrolithotomy complications
title_sort standardizing the reporting of percutaneous nephrolithotomy complications
topic Clavien
complications
outcomes
percutaneous nephrolithotomy
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2014;volume=30;issue=1;spage=84;epage=91;aulast=Violette
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