Proposed classification of complications after live donor nephrectomy

Koçak, Burak; Koffron, Alan J.; Baker, Talia; Salvalaggio, Paolo R.O.; Kaufman, Dixon B.; Fryer, Jonathan P.; Abécassis, Michaël; Stuart, Frank P.; Leventhal, Joseph R.

doi:10.1016/j.urology.2005.11.023

Cited by 88 publications

(59 citation statements)

References 8 publications

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“…Christakis et al [6] report the case of a patient with an infrarenal duplication of an IVC who after successful laparoscopic left donor nephrectomy, had a postoperative course complicated by ipsilateral scrotal swelling. Although ipsilateral scrotal oedema has been reported in a few cases, it is usually, but a transient complication [6,11]. Milloy and Anson [17] stated that knowledge of variations in morphology of the gonadal and renal veins coexisting with duplicated IVC is especially important due to presented several persistent from foetal live thin anastomotic vessels.…”

Section: Discussionmentioning

confidence: 99%

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

et al. 2014

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Section: Discussionmentioning

confidence: 99%

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

et al. 2014

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“…Mortality and morbidity are the criteria that can measure the threat to the live and health of the donors. [14] The reported mortality rate of the live kidney donors is very low (0.02%) [3] and it was mainly reported in the early open and laparoscopic donor nephrectomies. [5] In recent series [15,16] and our series there is no mortality.…”

Section: Discussionmentioning

confidence: 99%

“…Kocak et al suggested specific modification of Clavein system specially for the live donor nephrectomy complications. [14] We found this modification more complex and preferred to utilize the classic Clavien grading system which is more simple. Open donor nephrectomy was the classic approach for harvesting the kidneys from live donors with different morbidity rates ranging between 7% and 21%.…”

Section: Discussionmentioning

confidence: 99%

Surgical complications of open nephrectomy in living related donors in Yemen: a prospective study

Telha

Kataa

Alkohlany

et al. 2017

Turkish Journal of Urology

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Objective: Renal transplantation from living related donor is the best treatment option for chronic renal failure with experience for more than 50 years. However, this procedure may expose the health and even the life of otherwise normal individuals to risk. In this prospective study we described the surgical complications of open donor nephrectomies by Clavien grading system. Material and methods:Between May 2002 and December 2014, one hundred and seventy-two potentially healthy kidney donors were admitted to Althawrah General Hospital, Ibn-Sina Hospital and Military Hospital. The median age was 34 years (19-60 years) with male predominance in 64.5% of the cases. This prospective descriptive study reviews intra-, and post-operative surgical complications using Clavien grading system for surgical complications. Results:The procedure was done via supracostal lumbotomy incision (above 12 th rib) in 112 cases (65.1%) and transcostal incision with resection of 11th rib in 60 cases (34.9%). Left kidney was taken in most of the cases (68%) while right kidney in the remaining 42% with an average warm ischemia time of 31 seconds (range, 22-34 seconds). Surgical complications by Clavien grading system were observed in 18.6% of the cases (32 cases). Grade 1 in 28 (16.4%); Grade 2 in 2 (1.2%) and Grade 3 in 2 cases (1.2%) were detected. There was no grade 4 or 5 cases in our series. Median postoperative hospital stay was 3 days (range: 2-4 days). Conclusion:We found that most of the complications of open living donor nephrectomy are of grade I and higher grade complications are negligible compared to the advantages for the recipients.

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“…Although CDCSC was used in several studies in the field of general surgery, in those related to urology was used only in retroperitonoscopy, laparoscopic radical prostatectomy and laparoscopic live donor nephrectomy (28,29,30). Attempting to classify the PCNL complications according to the CDCSC is based on the very near future.…”

Section: Discussionmentioning

confidence: 99%

“…The method is not completely innocent although overall success rate of >90%; it has been reported in the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study that 20.5% of 5724 subjects (n=1175) experienced one more complications (2,3). Although extravasation (7.2%), hemorrhage requiring blood transfusion (11.2-17.5%) and fever (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32).1%) are common complications; septicemia (0.3-4.7%), colon injuries (0.2-4.8%) and pleural injury (%0-3.1) are among the rare major complications (4). Conversion to open surgery is rare and is usually required during the first experience with PCNL (5).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Charlson’s Comorbidity Index on Clavien-Dindo Classification of Surgical Complications in Percutaneous Nephrolitotomy

Girgin¹,

Topaktaş²,

Altin³

et al. 2016

jus

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What's known on the subject? and What does the study add? ÖZ AmaçPerkütan nefrolitotomi (PNL), komorbiditesi olan hastalarda komplikasyonlara daha duyarlı olmaları nedeniyle zorludur. Bu çalışmada, kliniğimizde PNL operasyonları sonrası belirlenen komplikasyonlar üzerinde eşlik eden durumların etkisini hastaların yaşlarını da dikkate alarak dikkate alarak incelemeye çalıştık. gereç ve yöntemHaziran 2002 ve Haziran 2012 tarihleri arasında kliniğimizde, PNL uygulanan 360 hasta retrospektif olarak incelendi. Bu çalışmada hastalar, demografik özellikleri, akses giriş yerleri, yaşa göre düzeltilmiş Charlson Komorbidite İndeksi'ne (ACCI) göre preoperatif komorbiditeleri ve Clavien-Dindo Sınıflandırma Sistemi kullanılarak gelişen postoperatif komplikasyonları açısından değerlendirildi. BulgularÇalışmaya alınan 360 hastanın yaş ortalaması 46 idi (10-83 yıl). Hastaların 220'si (%61,1) erkek ve 140'ı (%38,9) kadındı. ACCI sınıflamasına göre hastaların 169'u (%46,9) grup 1 ve 191'i (%53,1) grup 2 olarak tanımlandı. Olguların 212'sine (%58,8) alt kaliks, 136'sına (37,7%) orta kaliks ve 12'sine (3,3%) de üst kaliks girişi uygulandı. Komplikasyonlara bakıldığında ACCI grup 1 hastalarda %12,4 sınıf 1, %18,9 sınıf 2, %8,28 sınıf 3a ve ACCI grup 2 hastalarda %6,8 sınıf 1, %26,7 sınıf 2, % 6,28 sınıf 3a komplikasyon görüldü (p=0,098; 0,16; 0,49). Sınıf 3b ve sınıf 4a komplikasyonlar sadece ACCI grup 2 hastalarda görüldü. Sınıf 4b ve 5 komplikasyon her iki grup hastalarda da görülmedi. objectivePercutaneous nephrolithotomy (PCNL) in comorbid patients is challenging due to the high susceptibility to complications. In our study, by taking the age of patents into account, we have tried to figure out the impact of comorbid conditions on complications identified after PCNL operations in our clinic. Materials and MethodsThree hundred-sixty patients, who underwent PCNL in our clinic between June 2002 and June 2012, were retrospectively analyzed. The patients were assessed in terms of demographic characteristics, access locations, preoperative comorbidity using the age-adjusted Charlson's Comorbidity Index (ACCI) and postoperative complications using the Clavien-Dindo classification of surgical complications. ResultsThe mean age of the patients was 46 (10-83) years. Two hundred-twenty (61.1%) patients were male and 140 (38.9%) were female. According to preoperative ACCI, 169 (46.9%) of the cases were classified as group 1 and 191 (53.1%) of the cases as group 2. In 212 (58.8%) patients, entry into the lower calyx, in 136 (37.7%) -into the middle calyx and in 12 (3.3%) patients, entry into the upper calyx was done. The rate of complications in ACCI group 1, grade 1, grade 2 and grade 3a was 12.4%, 18.9%, 8.28% and in group 2, it was 6.8%, 26.7%, 6.28%, respectively. There was no significant difference between the groups (p=0.098, p=0.16 and p=0.49, respectively). Grade 3b and grade 4a complications were seen only in In this series the remarkable feature is that about 50% of patients had various comorbidities. Advanced age and comor...

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Proposed classification of complications after live donor nephrectomy

Cited by 88 publications

References 8 publications

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

The influence of atherosclerotic abdominal aorta on the shape of duplicated inferior vena cava: its potential clinical implications and vascular complications

Surgical complications of open nephrectomy in living related donors in Yemen: a prospective study

The Effect of Charlson’s Comorbidity Index on Clavien-Dindo Classification of Surgical Complications in Percutaneous Nephrolitotomy

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