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Status: Bibliographieeintrag

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Verfasst von:Gözen, Ali Serdar [VerfasserIn]   i
 Akın, Yiğit [VerfasserIn]   i
 Rassweiler, Jens [VerfasserIn]   i
Titel:Evaluation of the complications in laparoscopic retroperitoneal radical nephrectomy
Titelzusatz:an experience of high volume centre
Verf.angabe:Ali Serdar Gozen, Vitalie Gherman, Yigit Akin, Mustafa Suat Bolat, Muhammad Elmussareh, Jens Rassweiler
E-Jahr:2017
Jahr:2017-12-31
Umfang:6 S.
Fussnoten:Gesehen am 18.04.2018
Titel Quelle:Enthalten in: Archivio italiano di urologia e andrologia
Ort Quelle:Pavia : PAGEPress, 2010
Jahr Quelle:2017
Band/Heft Quelle:89(2017), 4, Seite 266-271
ISSN Quelle:2282-4197
Abstract:Objectives: To provide a standardised report of complications after retroperitoneal laparoscopic radical nephrectomy (rLRN) in a high-volume centre using Clavien-Dindo classification. Materials and methods: We analysed records maintained in a prospective database of 330 consecutive patients that underwent rLRN between March 1995 and September 2016. All complications were graded according to the modified Clavien-Dindo classification. Three generations of surgeons were defined and the learning curve in rLRN was evaluated by comparing the first 100 cases (Group A) performed by firstgeneration surgeons with the last 100 cases (Group B) by thirdgeneration surgeons. Results: The mean age of our cohort was 66 ± 11.9 years. The overall complication rate was 19.7%. The majority of complications (12.7%) were Clavien 1 (5.1%) and Clavien 2 (7.6%) and did not require any interventions; blood transfusion was the most frequently encountered intervention (4.8%). Half of which were because of major intraoperative bleeding. Mortality rate was 0.9%. We found a trend towards lower complication rate in group B (19%) compared to group A (23%); this was mainly because of the reduction in the incidence of Clavien 1 and 2 complications. The pathological stage varied significantly in the two groups while the rate of negative surgical margins was comparable. Conclusions: rLRN is a safe procedure with an acceptable rate of complications. The learning curve was shorter for the thirdgeneration surgeons (group B); although these surgeons operated on a significantly higher number of patients with more advanced diseases. The Clavien-Dindo classification is suitable for assessing rLRN complications. Adopting this standardised system can help in the evaluation and comparison of surgical quality of LRN series.
DOI:doi:10.4081/aiua.2017.4.266
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: http://dx.doi.org/10.4081/aiua.2017.4.266
 Volltext: http://www.pagepressjournals.org/index.php/aiua/article/view/aiua.2017.4.266
 DOI: https://doi.org/10.4081/aiua.2017.4.266
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Clavien-Dindo classification.
 Complications
 Kidney cancer
 Laparoscopy
K10plus-PPN:1572188227
Verknüpfungen:→ Zeitschrift

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