Complications in 2200 Consecutive Laparoscopic Radical Prostatectomies: Standardised Evaluation and Analysis of Learning Curves

Hruza, Marcel; Weiß, H.; Pini, Giovannalberto; Goezen, Ali Serdar; Schulze, Michael; Teber, Doğu; Rassweiler, Jens

doi:10.1016/j.eururo.2010.08.024

Cited by 73 publications

(37 citation statements)

References 27 publications

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“…Among patients with a PSM, the majority had pathologic T3 disease or T4, and the percentage with pathologic stage T3 and T4 were statistically higher than between T2 patients (P < 0.001). The mean lymph node yield was 9.2 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The lymph node positivity was 7 (1.8 %).…”

Section: Resultsmentioning

confidence: 97%

Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

et al. 2014

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Section: Resultsmentioning

confidence: 97%

Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

et al. 2014

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“…Part of this variation in grading these cases could be due to subjective interpretation of the different subclassifications of grades III and IV, as has been previously mentioned. 12,17 This is where subjective interpretation influences the different subdivisions in grades III and IV. This is because interventional procedures may be performed under local anesthesia in one centre, and under general anesthesia in another (grade III-a vs. grade III-b).…”

mentioning

confidence: 99%

Clavien classification in urology: Is there concordance among post-graduate trainees and attending urologists?

Elkoushy

Luz

Benidir

et al. 2013

CUAJ

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Purpose: We assess the variations between post-graduate trainees (PGTs) and attending urologists in applying the Revised ClavienDindo Classification System (RCCS) to urological complications. Methods: Twenty postoperative complications were selected from urology service Quality Assurance meeting minutes spanning 1 year at a tertiary care centre. The cases were from adult and pediatric sites and included minor and major complications. After a briefing session to review the RCCS, the survey was administered to 16 attending urologists and 16 PGTs. Concordance rates between the two groups were calculated for each case and for the whole survey. Inter-rater agreement was calculated by kappa statistics. Results: There was good overall agreement rate of 81 % (range: 30-100) when both groups were compared. Thirteen of the 20 cases (65%) held an agreement rate above 80% (k = 0.753, p < 0.001) including 3 (15%) cases with 100% agreement. There were only 2 cases where the scores given by PGTs were significantly different from that given by attending urologists (p ≤ 0.03). There was no significant difference between both groups in terms of overall RCCS grades (p = 0.12). When all participants were compared as one group, there was good overall inter-rater agreement rate of 75% (k = 0.71). Although the percent of overall agreement rate among PGTs was higher than the attending urologists (82% [k = 0.79] vs. 69% [k = 0.64]), this was not significantly different (p = 0.68).

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“…All of the complications were graded according to modified Clavien classification described in Hruza et al [10]. Clavien 1 and 2 were accepted as minor complications whereas Clavien 3, 4 and 5 were accepted as major complications.…”

Section: Methodsmentioning

confidence: 99%

Changing Surgical Approaches for Laparoscopic Adrenalectomy: Single-Surgeon Data of a 6-Year Experience

Arslan¹,

Akın²,

Ateş³

et al. 2013

Urol Int

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Aim: To evaluate outcomes of laparoscopic adrenalectomy (LA) and laparoendoscopic single-site surgery (LESS) for adrenal masses in the light of changing laparoscopic surgical techniques. Materials and Methods: Seventy-three patients were analyzed retrospectively. There were 2 groups; group 1 included patients who had conventional transperitoneal LA and transperitoneal LESS, and group 2 included patients who had lateral retroperitoneal LA, retroperitoneal LA in prone position, and retroperitoneal LESS. Demographic data, urine 3-methoxy-4-hydroxymandelic acid, normetanephrine, epinephrine, serum cortisol, aldosterone, adrenocorticotropic hormone, American Society of Anesthesiologists score, side and size of mass, conversion to open surgery, complications, estimated blood loss, operation time, pathological results were recorded and analyzed. Results: There was no difference in demographic data and serum parameters between both groups. Tumor size, estimated blood loss, operation time, transfusion rate and hospital stay were less for group 2 (p < 0.05, p = 0.0001). However, the complication rate was similar in both groups; in retroperitoneal prone position, the complication rate was less than for other surgical approaches, but statistically significant results could not be assessed. Conclusions: Even if the diameter of adrenal mass is larger than 6 cm, LA may be considered as the gold standard. The retroperitoneal approach especially in prone position may be a promising treatment method in the near future for adrenalectomy in selected patients.

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Complications in 2200 Consecutive Laparoscopic Radical Prostatectomies: Standardised Evaluation and Analysis of Learning Curves

Cited by 73 publications

References 27 publications

Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

Clavien classification in urology: Is there concordance among post-graduate trainees and attending urologists?

Changing Surgical Approaches for Laparoscopic Adrenalectomy: Single-Surgeon Data of a 6-Year Experience

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