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Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system

INTRODUCTION: Clavien–Dindo classification system is used for grading complications of various oncological, renal, and endourological procedures. We applied this system for grading the severity of perioperative complications in patients undergoing transurethral resection of bladder tumor (TURBT) and...

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Autores principales: Bansal, Ankur, Sankhwar, Satyanarayan, Goel, Apul, Kumar, Manoj, Purkait, Bimalesh, Aeron, Ruchir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970397/
https://www.ncbi.nlm.nih.gov/pubmed/27555684
http://dx.doi.org/10.4103/0970-1591.185104
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author Bansal, Ankur
Sankhwar, Satyanarayan
Goel, Apul
Kumar, Manoj
Purkait, Bimalesh
Aeron, Ruchir
author_facet Bansal, Ankur
Sankhwar, Satyanarayan
Goel, Apul
Kumar, Manoj
Purkait, Bimalesh
Aeron, Ruchir
author_sort Bansal, Ankur
collection PubMed
description INTRODUCTION: Clavien–Dindo classification system is used for grading complications of various oncological, renal, and endourological procedures. We applied this system for grading the severity of perioperative complications in patients undergoing transurethral resection of bladder tumor (TURBT) and identify parameters predicting these complications. MATERIALS AND METHODS: Data of 984 patients who underwent TURBT from 2006 to 2014 were included in this study. All data was retrospectively collected and analyzed for complications occurring within the first postoperative month. All complications were classified according to the five grades of modified CCS (.Clavien classification system). RESULTS: A total of 172 complications were observed in 138 patients. Majority were low grade complications (Grade 1 [77.3%] and Grade 2 [12.7%]). Higher grade complications were rare (Grade 3 [6.4%] and Grade 4 [3.0%]). There was one death (Grade 5 0.6%), with an overall mortality rate of 0.1%. The incidence of complications was significantly greater for age >60 years, baseline serum creatinine >1.4 mg/dl, size of tumor >4 cm, tumor located at dome, resection time >60 min, incomplete resection and if surgery performed by a resident urologist. CONCLUSIONS: Clavien–Dindo classification system can be easily applied to grade the complications of TURBT, and it is easily reproducible. We observed that TURBT was a safe procedure. Majority of complications were Grade 1–2 (90%) and Grade 3–5 were rare (10%). Postoperative bleeding is the most common complication. A greater rate of complications of TURBT was associated with patient age, size of tumor, location of tumor, surgeon experience, resection time, and completion of tumor resection.
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spelling pubmed-49703972016-08-23 Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system Bansal, Ankur Sankhwar, Satyanarayan Goel, Apul Kumar, Manoj Purkait, Bimalesh Aeron, Ruchir Indian J Urol Original Article INTRODUCTION: Clavien–Dindo classification system is used for grading complications of various oncological, renal, and endourological procedures. We applied this system for grading the severity of perioperative complications in patients undergoing transurethral resection of bladder tumor (TURBT) and identify parameters predicting these complications. MATERIALS AND METHODS: Data of 984 patients who underwent TURBT from 2006 to 2014 were included in this study. All data was retrospectively collected and analyzed for complications occurring within the first postoperative month. All complications were classified according to the five grades of modified CCS (.Clavien classification system). RESULTS: A total of 172 complications were observed in 138 patients. Majority were low grade complications (Grade 1 [77.3%] and Grade 2 [12.7%]). Higher grade complications were rare (Grade 3 [6.4%] and Grade 4 [3.0%]). There was one death (Grade 5 0.6%), with an overall mortality rate of 0.1%. The incidence of complications was significantly greater for age >60 years, baseline serum creatinine >1.4 mg/dl, size of tumor >4 cm, tumor located at dome, resection time >60 min, incomplete resection and if surgery performed by a resident urologist. CONCLUSIONS: Clavien–Dindo classification system can be easily applied to grade the complications of TURBT, and it is easily reproducible. We observed that TURBT was a safe procedure. Majority of complications were Grade 1–2 (90%) and Grade 3–5 were rare (10%). Postoperative bleeding is the most common complication. A greater rate of complications of TURBT was associated with patient age, size of tumor, location of tumor, surgeon experience, resection time, and completion of tumor resection. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4970397/ /pubmed/27555684 http://dx.doi.org/10.4103/0970-1591.185104 Text en Copyright: © Indian Journal of Urology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bansal, Ankur
Sankhwar, Satyanarayan
Goel, Apul
Kumar, Manoj
Purkait, Bimalesh
Aeron, Ruchir
Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title_full Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title_fullStr Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title_full_unstemmed Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title_short Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system
title_sort grading of complications of transurethral resection of bladder tumor using clavien–dindo classification system
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970397/
https://www.ncbi.nlm.nih.gov/pubmed/27555684
http://dx.doi.org/10.4103/0970-1591.185104
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