Assessment of Complications in Patients Who Underwent LPN According to the CCI

Which is Better to Assess Postoperative Complications in Patients Undergoing Laparoscopic Partial Nephrectomy?: Clavien-Dindo Classification Versus Comprehensive Complication Index.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT05823545

Enrollment

Registered

2023-04-21

Start date

2020-02-01

Completion date

2021-03-03

Last updated

2023-04-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Renal Cancer, Surgery-Complications

Keywords

laparoscopy, partial nephrectomy, complication, CCI, urology

Brief summary

This study aims to compare the strength of the classical Clavien-Dindo classification system (CDC), which is a Likert scale analysis versus the comprehensive complication index (CCI), a new quantitative evaluation system, in patients undergoing laparoscopic partial nephrectomy (LPN).

Detailed description

Prospectively collected data of sixty-two patients undergoing LPN with postoperative complications from November 2009 to August 2020 were evaluated retrospectively. Postoperative complications were classified according to the CDCs and calculated using the CCI calculator (https://www.assessurgery.com) quantitatively. Major complications were determined as ≥ grade 3 complications according to the CDC. The complexity of the renal mass was defined according to the RENAL nephrometry score. The cut-off value for CCI was analyzed by the ROC analysis technique. The significance level was taken as p\<0.05.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Inclusion criteria

* patients with complete data * patients with consent * Patients \> 18 year-old * The surgeries performed by the surgeon EO

Exclusion criteria

* Missing data * patients without consent * patients who underwent open or retroperitoneoscopic laparoscopic partial nephrectomy

Design outcomes

Primary

Measure	Time frame	Description
Postoperative complication	up to 3 months, postoperatively	Abnormal clinical and laboratory findings that may be seen after surgery and require additional intervention, treatment, or follow-up
Opertaion time	during the surgery (minute)	From first trocar incision to closure of all incisions
Estimeted blood loss	during the surgery (mL)	perioperative estimated blood loss
warm ischemia time	during the surgery (minute)	Its starts when the renal artery and vein are controlled and it ends when reperfusion of the graft kidney starts on the back table

Countries

Turkey (Türkiye)

Outcome results