KaydedilenlerDerginizi ekleyin

Dergiler / İstanbul Medical Journal / 2022 / Cilt: 23 - Sayı: 2

Validation of the Classification of Intraoperative Complications for Gastrointestinal Surgery

Ufuk Oğuz IDİZ
Cihad TATAR
Selim DOĞAN
Mert Mahsuni SEVİNÇ
Erdem KINACI
Sayfa
135–138
Yayın Tarihi
2022-10-19
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

High-grade iAEs is a valuable predictor of increased hospital stay.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Introduction: In recent, a new classification system for intraoperative adverse events (iAEs) was proposed, called “the Classification of Intraoperative Complications (CLASSIC).” Our aim was to evaluate the relationship between CLASSIC and the grade of postoperative complications (PostC) in gastrointestinal oncological surgery.
📊
Temel Bulgular & Veri:Results: A total of 95 patients were included in this study.
💡
Sonuç & Katkı:High-grade iAEs is a valuable predictor of increased hospital stay.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Introduction: In recent, a new classification system for intraoperative adverse events (iAEs) was proposed, called “the Classification of Intraoperative Complications (CLASSIC).” Our aim was to evaluate the relationship between CLASSIC and the grade of postoperative complications (PostC) in gastrointestinal oncological surgery. Methods: Demographics, preoperative laboratory parameters, grades of iAEs, grades of PostC, and intraoperative pH and lactate levels were evaluated in patients who underwent gastric and colorectal surgery. Results: A total of 95 patients were included in this study. Mean age was 60±14, 57 male vs 38 females. There was no significant relationship between the grade of iAEs and PostC in terms of demographics and the presence of intraoperative acidosis. Preoperative albumin level was inversely proportional to the grade of iAEs. There was no relationship between the grade of iAEs and the grade of PostC (p=0.563). The actual rates of high-grade PostC in patients with low-grade iAEs and high-grade iAEs were 10% and 18%, respectively. Additionally, the length of stay was higher in patients with high-grade iAEs (p=0.018). Conclusion: CLASSIC may be a predictive of the grade of PostC in patients who undergo gastrointestinal surgery. High-grade iAEs is a valuable predictor of increased hospital stay.

🔖

Bu Makaleye Atıf Yap

IDİZ, U. O., TATAR, C., DOĞAN, S., SEVİNÇ, M. M., KINACI, E. (2022). Validation of the Classification of Intraoperative Complications for Gastrointestinal Surgery. İstanbul Medical Journal, Cilt: 23 - Sayı: 2, 135–138. https://ajindex.com/articles/551763

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Kinaci E, Sevinc MM, Ozakay A, Bayrak S, Cakar E, Sari S. Intraoperative acidosis is a new predictor for postoperative pancreatic fistula after pancreaticoduodenectomy. Hepatobiliary Pancreat Dis Int 2016; 15: 302-9
  2. Vibert E, Boleslawski E, Cosse C, Adam R, Castaing D, Cherqui D, et al. Arterial Lactate Concentration at the End of an Elective Hepatectomy Is an Early Predictor of the Postoperative Course and a Potential Surrogate of Intraoperative Events. Ann Surg 2015; 262: 787-93
  3. Nienhuijs SW, Kaymak U, Korsten E, Buise MP. Influence of intraoperative hypotension on leaks after sleeve gastrectomy. Surg Obes Relat Dis 2015; 15: 813-8
  4. Kim SH, Son SY, Park YS, Ahn SH, Park DJ, Kim HH. Risc factors for anastomotic leakage: A retrospective cohort study in a single gastric surgical unit. J Gastric Cancer 2015; 15: 167-75
  5. Azoulay D, Bhangui P, Andreani P, Salloum C, Karam V, Hoti E, et al. Short- and long-term donor morbidity in right lobe living donor liver transplantation: 91 consecutive cases in a European Center. Am J Transplant 2011; 11: 101-10
  6. Kaafarani HM, Mavros MN, Hwabejire J, Fagenholz P, Yeh DD, Demoya M, et al. Derivation and validation of novel severity classification for intraoperative adverse events. J Am Coll Surg 2014; 218: 1120-8
  7. Rosenthal R, Hoffmann H, Clavien PA, Bucher HC, Dell-Kuster S. Definition and classification of intraoperative complications (CLASSIC): Delphi study and pilot evaluation. World J Surg 2015; 39: 1663-71
  8. Ramley EP, Bohnen JD, Farhat MR, Razmdjou S, Mavros MN, Yeh DD, et al. The nature, patterns, clinical outcomes, and financial impact of intraoperative adverse events in emergency surgery. Am J Surg 2016; 212: 16-23
  9. Kinaci E, Sevinc MM, Bayrak S, Erdoğan E, Ozakay A, Sari S. Is the classification of intraoperative complications (CLASSIC) related to postoperative course? Int J Surg 2016; 29: 171-5
  10. Strasberg SM, Linehan DC, Hawkins WG. The accordion severity grading system of surgical complications. Ann Surg 2009; 250: 177-86
  11. Clavien PA, Sanabria JR, Strasberg S. Proposed classification of complications of surgery with examples of utility in cholesistectomy. Surgery 1992; 111: 518- 26
  12. Clavien PA, Camargo CA Jr, Croxforth R, Langer B, Levy GA, Greig PD. Definition and classification of negative outcomes in solid organ transplantation. Application in liver transplantation. Ann Surg 1994; 220: 109-20
  13. Dindo D, Demartines N, Clavien PA. Classification of surgical complicati