J.E. Ceballos-López, R. Carvajal-García, R. Galeana-Ruiz, F. González-González, E.J. Mendoza-Villanueva, J.A. Martínez-Manzo, J.C. Ibarra-Camacho, K. Trujillo-Ríos, L. Villalpando Gómez
{"title":"经皮肾石切开术患者并发症的相关因素","authors":"J.E. Ceballos-López, R. Carvajal-García, R. Galeana-Ruiz, F. González-González, E.J. Mendoza-Villanueva, J.A. Martínez-Manzo, J.C. Ibarra-Camacho, K. Trujillo-Ríos, L. Villalpando Gómez","doi":"10.1016/j.uromx.2016.01.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Percutaneous nephrolithotomy (PNL) is the standard procedure for kidney stones larger than 2<!--> <!-->cm, thus displacing open surgery. The incidence of complications varies from 12.5 to 52.5%, the main ones being fever and bleeding.</p></div><div><h3>Aim</h3><p>To identify the factors associated with complications in patients that underwent PNL, in accordance with the Clavien-Dindo classification.</p></div><div><h3>Materials and methods</h3><p>A retrospective, correlational, descriptive, cross-sectional study was conducted. We reviewed 104 patients that underwent PNL within the time frame of 2008 and 2014.</p></div><div><h3>Results</h3><p>One hundred and four patients were included in the study and there were 38 complications. In accordance with the Clavien-Dindo classification there were grade I (19), grade II (10), grade IIIA (8), and grade IVA (1) complications. The most frequent complication was postoperative bleeding in 11 patients. The complications were related to residual stones (p<!--> <!-->=<!--> <!-->0.032). A grade 2 or higher complication was more likely when the lower calyx was affected (p<!--> <!-->=<!--> <!-->0.027). We found a relation between bleeding and surgery duration<!--> <!-->><!--> <!-->100<!--> <!-->min (p<!--> <!-->=<!--> <!-->0.019).</p></div><div><h3>Conclusions</h3><p>The Clavien-Dindo classification is a useful tool for standardizing and reporting complications in PNL. Surgery duration<!--> <!-->><!--> <!-->100<!--> <!-->min increased the risk for postoperative bleeding and complications were associated with residual stones.</p></div>","PeriodicalId":34909,"journal":{"name":"Revista mexicana de urologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.uromx.2016.01.008","citationCount":"1","resultStr":"{\"title\":\"Factores asociados a complicaciones en pacientes sometidos a nefrolitotomía percutánea\",\"authors\":\"J.E. Ceballos-López, R. Carvajal-García, R. Galeana-Ruiz, F. González-González, E.J. Mendoza-Villanueva, J.A. Martínez-Manzo, J.C. Ibarra-Camacho, K. Trujillo-Ríos, L. Villalpando Gómez\",\"doi\":\"10.1016/j.uromx.2016.01.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Percutaneous nephrolithotomy (PNL) is the standard procedure for kidney stones larger than 2<!--> <!-->cm, thus displacing open surgery. The incidence of complications varies from 12.5 to 52.5%, the main ones being fever and bleeding.</p></div><div><h3>Aim</h3><p>To identify the factors associated with complications in patients that underwent PNL, in accordance with the Clavien-Dindo classification.</p></div><div><h3>Materials and methods</h3><p>A retrospective, correlational, descriptive, cross-sectional study was conducted. We reviewed 104 patients that underwent PNL within the time frame of 2008 and 2014.</p></div><div><h3>Results</h3><p>One hundred and four patients were included in the study and there were 38 complications. In accordance with the Clavien-Dindo classification there were grade I (19), grade II (10), grade IIIA (8), and grade IVA (1) complications. The most frequent complication was postoperative bleeding in 11 patients. The complications were related to residual stones (p<!--> <!-->=<!--> <!-->0.032). A grade 2 or higher complication was more likely when the lower calyx was affected (p<!--> <!-->=<!--> <!-->0.027). We found a relation between bleeding and surgery duration<!--> <!-->><!--> <!-->100<!--> <!-->min (p<!--> <!-->=<!--> <!-->0.019).</p></div><div><h3>Conclusions</h3><p>The Clavien-Dindo classification is a useful tool for standardizing and reporting complications in PNL. Surgery duration<!--> <!-->><!--> <!-->100<!--> <!-->min increased the risk for postoperative bleeding and complications were associated with residual stones.</p></div>\",\"PeriodicalId\":34909,\"journal\":{\"name\":\"Revista mexicana de urologia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.uromx.2016.01.008\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista mexicana de urologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2007408516000215\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista mexicana de urologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2007408516000215","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Factores asociados a complicaciones en pacientes sometidos a nefrolitotomía percutánea
Background
Percutaneous nephrolithotomy (PNL) is the standard procedure for kidney stones larger than 2 cm, thus displacing open surgery. The incidence of complications varies from 12.5 to 52.5%, the main ones being fever and bleeding.
Aim
To identify the factors associated with complications in patients that underwent PNL, in accordance with the Clavien-Dindo classification.
Materials and methods
A retrospective, correlational, descriptive, cross-sectional study was conducted. We reviewed 104 patients that underwent PNL within the time frame of 2008 and 2014.
Results
One hundred and four patients were included in the study and there were 38 complications. In accordance with the Clavien-Dindo classification there were grade I (19), grade II (10), grade IIIA (8), and grade IVA (1) complications. The most frequent complication was postoperative bleeding in 11 patients. The complications were related to residual stones (p = 0.032). A grade 2 or higher complication was more likely when the lower calyx was affected (p = 0.027). We found a relation between bleeding and surgery duration > 100 min (p = 0.019).
Conclusions
The Clavien-Dindo classification is a useful tool for standardizing and reporting complications in PNL. Surgery duration > 100 min increased the risk for postoperative bleeding and complications were associated with residual stones.
期刊介绍:
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.