Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy
Introduction: There is a paucity of a standardized post-operative complications grading system in urology especially in the elderly population. Studies show satisfactory survival and oncological outcomes albeit with a slight increase in post-operative morbidity compared to younger patients. The Clav...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=1;spage=18;epage=22;aulast=Khan |
| _version_ | 1811336819794509824 |
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| author | Atif Khan Victor Palit Andy Myatt Jon J Cartledge Anthony J Browning Adrian D Joyce Chandra Shekhar Biyani |
| author_facet | Atif Khan Victor Palit Andy Myatt Jon J Cartledge Anthony J Browning Adrian D Joyce Chandra Shekhar Biyani |
| author_sort | Atif Khan |
| collection | DOAJ |
| description | Introduction: There is a paucity of a standardized post-operative complications grading system in urology especially in the elderly population. Studies show satisfactory survival and oncological outcomes albeit with a slight increase in post-operative morbidity compared to younger patients. The Clavien-Dindo classification for post-operative complications is established as a valid system worldwide and applicable in many fields of surgery.
Purpose: Retrospective assessment of post-operative complications in patients >75 years who underwent open/laparoscopic nephrectomy/nephroureterectomy for renal diseases and grading the post-operative complications according to the Clavien-Dindo classification.
Materials and Methods: Retrospective review of case notes was performed in patients >75 years who underwent a laparoscopic/open nephrectomy/nephroureterectomy between 2000 and 2008. Post-operative complications were graded according to the Clavien-Dindo classification.
Results: A total of 54 patients >75 years underwent nephrectomy/nephroureterectomy. 29 patients had laparoscopy and 25 had open surgery. Fifty one patients had a malignancy and 3 had benign diseases. Grade I, II, IIIa, IIIb and IVa were 25.6%, 41.1%, 7.7%, 7.7% and 17.9% respectively. No significant difference was noted in the 2 groups
Conclusions: We believe that in elderly patients, laparoscopic surgery can be offered safely without significantly increasing the surgical risks. The Clavien-Dindo classification is easy to use and effectively applied to categorize post-operative complications associated with nephrectomy/nephroureterectomy in elderly population. However, this system needs slight modification to incorporate intra-operative complications and large studies are needed to validate and standardize this classification for all urological procedures. |
| first_indexed | 2024-04-13T17:46:05Z |
| format | Article |
| id | doaj.art-6a404a3e4a4b47dc9eb10be8aeea7fa5 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-13T17:46:05Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-6a404a3e4a4b47dc9eb10be8aeea7fa52022-12-22T02:36:59ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342013-01-0151182210.4103/0974-7796.106959Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomyAtif KhanVictor PalitAndy MyattJon J CartledgeAnthony J BrowningAdrian D JoyceChandra Shekhar BiyaniIntroduction: There is a paucity of a standardized post-operative complications grading system in urology especially in the elderly population. Studies show satisfactory survival and oncological outcomes albeit with a slight increase in post-operative morbidity compared to younger patients. The Clavien-Dindo classification for post-operative complications is established as a valid system worldwide and applicable in many fields of surgery. Purpose: Retrospective assessment of post-operative complications in patients >75 years who underwent open/laparoscopic nephrectomy/nephroureterectomy for renal diseases and grading the post-operative complications according to the Clavien-Dindo classification. Materials and Methods: Retrospective review of case notes was performed in patients >75 years who underwent a laparoscopic/open nephrectomy/nephroureterectomy between 2000 and 2008. Post-operative complications were graded according to the Clavien-Dindo classification. Results: A total of 54 patients >75 years underwent nephrectomy/nephroureterectomy. 29 patients had laparoscopy and 25 had open surgery. Fifty one patients had a malignancy and 3 had benign diseases. Grade I, II, IIIa, IIIb and IVa were 25.6%, 41.1%, 7.7%, 7.7% and 17.9% respectively. No significant difference was noted in the 2 groups Conclusions: We believe that in elderly patients, laparoscopic surgery can be offered safely without significantly increasing the surgical risks. The Clavien-Dindo classification is easy to use and effectively applied to categorize post-operative complications associated with nephrectomy/nephroureterectomy in elderly population. However, this system needs slight modification to incorporate intra-operative complications and large studies are needed to validate and standardize this classification for all urological procedures.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=1;spage=18;epage=22;aulast=KhanClavien-dindoelderlynephrectomy |
| spellingShingle | Atif Khan Victor Palit Andy Myatt Jon J Cartledge Anthony J Browning Adrian D Joyce Chandra Shekhar Biyani Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy Urology Annals Clavien-dindo elderly nephrectomy |
| title | Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy |
| title_full | Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy |
| title_fullStr | Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy |
| title_full_unstemmed | Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy |
| title_short | Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy |
| title_sort | assessment of clavien dindo classification in patients 75 years undergoing nephrectomy nephroureterectomy |
| topic | Clavien-dindo elderly nephrectomy |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2013;volume=5;issue=1;spage=18;epage=22;aulast=Khan |
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