Which is Better to Assess Postoperative Complications in Patients Undergoing Laparoscopic Partial Nephrectomy?: Clavien-Dindo Classification Versus Comprehensive Complication Index.
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Samsun Liv Hospital
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- Opertaion time
Overview
Brief Summary
This study aims to compare the strength of the classical Clavien-Dindo classification system (CDC), which is a Likert scale analysis versus the comprehensive complication index (CCI), a new quantitative evaluation system, in patients undergoing laparoscopic partial nephrectomy (LPN).
Detailed Description
Prospectively collected data of sixty-two patients undergoing LPN with postoperative complications from November 2009 to August 2020 were evaluated retrospectively. Postoperative complications were classified according to the CDCs and calculated using the CCI calculator (https://www.assessurgery.com) quantitatively. Major complications were determined as ≥ grade 3 complications according to the CDC. The complexity of the renal mass was defined according to the RENAL nephrometry score. The cut-off value for CCI was analyzed by the ROC analysis technique. The significance level was taken as p<0.05.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patients with complete data
- •patients with consent
- •Patients \> 18 year-old
- •The surgeries performed by the surgeon EO
Exclusion Criteria
- •Missing data
- •patients without consent
- •patients who underwent open or retroperitoneoscopic laparoscopic partial nephrectomy
Outcomes
Primary Outcomes
Opertaion time
Time Frame: during the surgery (minute)
From first trocar incision to closure of all incisions
Estimeted blood loss
Time Frame: during the surgery (mL)
perioperative estimated blood loss
warm ischemia time
Time Frame: during the surgery (minute)
Its starts when the renal artery and vein are controlled and it ends when reperfusion of the graft kidney starts on the back table
Postoperative complication
Time Frame: up to 3 months, postoperatively
Abnormal clinical and laboratory findings that may be seen after surgery and require additional intervention, treatment, or follow-up
Secondary Outcomes
No secondary outcomes reported
Investigators
Mehmet N. Mercimek, MD, FEBU
Associate professor, MD, FEBU
Samsun Liv Hospital