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Journals / Turkish Journal of Medical Sciences / 2016 / Cilt: 46 - Sayı: 3

Categorization of ureteroscopy complications and investigation of associated factors by using the modified Clavien classification system

Eyüp Burak SANCAK
Ural OĞUZ
Ercan ÖĞREDEN
Erdal BENLİ
Erhan DEMİRELLİ
Orhan YALÇIN
Berkan REŞORLU
Murat Tolga GÜLPINAR
Alpaslan AKBAŞ
Ali AYYILDIZ
Pages
686–694
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: According to MCCS, sex, history of previous surgeries for urolithiasis, orifice dilatation, size of the instrument, stone size, number of stones, and localization are associated with different grades of complications in URS.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: The purpose of the present study was to review the complications of ureteroscopy (URS) by using the modified Clavien classification system (MCCS) and to investigate the factors associated with complications.
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Key Findings & Data:Materials and methods: Data regarding 811 patients who underwent URS for ureteral calculus were analyzed.
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Conclusion & Impact:Conclusion: According to MCCS, sex, history of previous surgeries for urolithiasis, orifice dilatation, size of the instrument, stone size, number of stones, and localization are associated with different grades of complications in URS.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: The purpose of the present study was to review the complications of ureteroscopy (URS) by using the modified Clavien classification system (MCCS) and to investigate the factors associated with complications. Materials and methods: Data regarding 811 patients who underwent URS for ureteral calculus were analyzed. Peroperative and postoperative complications were recorded. The patients were divided into seven groups depending on the severity of the complications. The association of sex, stone size, number, and localization with each MCCS grade was also evaluated. Results: The average age was 45 years. The success of the procedure after one session was 93.5%. Complications were recorded in 57.9% of the patients. According to the MCCS, grade I, II, IIIa, IIIb, IVa, IVb, and V complications were documented in 29.8%, 7.1%, 8.6%, 11%, 0%, 1.2%, and 0% of the patients, respectively. The factors associated with the complications graded by MCCS were sex, stone size, number of stones, and localization. In addition, in multivariate analysis, history of previous surgeries for urolithiasis, orifice dilatation, and instrument size were associated with complications. Conclusion: According to MCCS, sex, history of previous surgeries for urolithiasis, orifice dilatation, size of the instrument, stone size, number of stones, and localization are associated with different grades of complications in URS.

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Cite This Article

SANCAK, E. B., OĞUZ, U., ÖĞREDEN, E., BENLİ, E., DEMİRELLİ, E., YALÇIN, O., REŞORLU, B., GÜLPINAR, M. T., AKBAŞ, A., AYYILDIZ, A. (2022). Categorization of ureteroscopy complications and investigation of associated factors by using the modified Clavien classification system. Turkish Journal of Medical Sciences, Cilt: 46 - Sayı: 3, 686–694. https://ajindex.com/articles/610797

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References (15)

  1. Tepeler A, Resorlu B, Sahin T, Sarikaya S, Bayindir M, Oguz U, Armagan A, Unsal A. Categorization of intraoperative ureteroscopy complications using modified Satava classification system. World J Urol 2014; 32: 131-136
  2. Skolarikos A, Straub M, Knoll T, Sarica K, Seitz C, Petřík A, Türk C. Metabolic evaluation and recurrence prevention for urinary stone patients: EAU guidelines. Eur Urol 2015; 67: 750- 763
  3. Mandal S, Goel A, Singh MK, Kathpalia R, Nagathan DS, Sankhwar SN, Singh V, Singh BP, Sinha RJ, Dalela D. Clavien classification of semirigid ureteroscopy complications: a prospective study. Urology 2012; 80: 995-1001
  4. Kaufman JJ. Ureteral injury from ureteroscopic stone manipulation. Urology 1984; 23: 267-269
  5. Horrow MM, Tuncali K, Kirby CL. Imaging of ureteroscopic complications. Am J Roentgenol 1997; 168: 633-637
  6. Jeromin L, Sosnowski M. Ureteroscopy in the treatment of ureteral stones: over 10 years’ experience. Eur Urol 1998; 34: 344-349
  7. Georgescu D, Mulţescu R, Geavlete B, Geavlete P. Intraoperative complications after 8150 semirigid ureteroscopies for ureteral lithiasis: risk analysis and management. Chirurgia (Bucur) 2014; 109: 369-374
  8. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205- 213
  9. Satava RM. Identification and reduction of surgical error using simulation. Minim Invasiv Ther 2005; 14: 257-261
  10. Subrt Z, Ferko A, Cečka F, Jon B, Orhalmi J. Classification of surgical complications: analysis of the group of consecutive patients. Rozhl Chir 2012; 91: 666-669
  11. Rassweiler JJ, Teber D, Frede T. Complications of laparoscopic pyeloplasty. World J Urol 2008; 26: 539-547
  12. Nerli RB, Reddy M, Prabha V, Koura A, Patne P, Ganesh MK. Complications of laparoscopic pyeloplasty in children. Pediatr Surg Int 2009; 25: 343-347
  13. Oguz U, Resorlu B, Ozyuvali E, Bozkurt OF, Senocak C, Unsal A. Categorizing intraoperative complications of retrograde intrarenal surgery. Urol Int 2014; 92: 164-168
  14. Dogan HS, Onal B, Satar N. Factors affecting complication rates of ureteroscopic lithotripsy in children: results of multiinstitutional retrospective analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society. J Urology 2011; 186: 1035-1040
  15. Hersch EC, Oh RC. Prolonged febrile illness and fever of unknown origin in adults. Am Fam Physician 2014; 90: 91-96. 16.