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Complications of retrograde intrarenal surgery classified by the modified Clavien grading system.
Xu, Yong; Min, Zhiqian; Wan, Shaw P; Nie, Haibo; Duan, Guangjun.
Afiliação
  • Xu Y; Department of Urology, Zhuzhou Central Hospital, 116# South Changjiang Road, Tianyuan district, Zhuzhou, 412007, Hunan, China. tigerhnll@126.com.
  • Min Z; Department of Radiology, Shaanxi Provincial People's Hospital, No. 256 Youyi Road, Xi'an, 710068, Shaanxi, China.
  • Wan SP; Department of Urology, First People's Hospital of Xiaoshan, 199# Xinnan Road, Xiaoshan district, Hangzhou, 311200, Zhejiang, China.
  • Nie H; Department of Urology, Zhuzhou Central Hospital, 116# South Changjiang Road, Tianyuan district, Zhuzhou, 412007, Hunan, China.
  • Duan G; Department of Urology, Zhuzhou Central Hospital, 116# South Changjiang Road, Tianyuan district, Zhuzhou, 412007, Hunan, China.
Urolithiasis ; 46(2): 197-202, 2018 Apr.
Article em En | MEDLINE | ID: mdl-28236022
The increase in the retrograde intrarenal surgery (RIRS) has been accompanied by the increase in complications. This study identified the factors that affected the severity of the complications using the modified Clavien classification system (MCCS). Three hundred and twenty-two consecutive RIRS performed by a single surgeon were analyzed. Data collection included demographics, clinical parameters, and perioperative and postoperative complications. The rate of adverse events for each of the Clavien grades was calculated, and statistical comparisons were made. The impact of each of the factors on the severity of the complications, based on the MCCS, was investigated using the univariate and multivariate analyses. The total complication rate was 26.1% (MCCS: I = 67.7%, II = 22.7%, IIIb = 7.2%, IVb = 2.4%). On the univariate analyses, the following factors affected complication: positive preoperative urine culture, operative time, irrigation rate, and stone burden. Multivariate logistic regression analysis demonstrated that positive preoperative urine culture, irrigation rate, and operative time were the significant factors affecting the complications. Most of the RIRS complications were in the lower Clavien grades and major complications were uncommon. Positive preoperative urine culture, irrigation rate, and operative time were the factors that affected complications.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Procedimentos Cirúrgicos Urológicos / Urolitíase Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Urolithiasis Ano de publicação: 2018 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Procedimentos Cirúrgicos Urológicos / Urolitíase Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Urolithiasis Ano de publicação: 2018 Tipo de documento: Article País de afiliação: China