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Standardizing the reporting of percutaneous nephrolithotomy complications.

Accurate reporting of complications is an essential component to critical appraisal and innovation in surgery and specifically with percutaneous nephrolithotomy (PCNL). We review the evolution of complication reporting for PCNL and suggest future directions for innovation. A selective review was car...

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Publicado en:Indian Journal of Urology Vol. 30; no. 1; pp. 84 - 92
Autores principales: Voilette, Philippe D., Denstedt, John D.
Formato: proceedings review Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jan-Mar2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Mar2014
      vid: 30
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      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/0970-1591.124213
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        atl: Standardizing the reporting of percutaneous nephrolithotomy complications.
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          Voilette, Philippe D.
          Denstedt, John D.
        affil: Department of Surgery, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada
      sug:
        subj:
          Urolithiasis Surgery
          Postoperative Complications
          Mandatory Reporting Standards
          Human
          PubMed Utilization
          Congresses and Conferences
          India
          Treatment Outcomes
      ab: Accurate reporting of complications is an essential component to critical appraisal and innovation in surgery and specifically with percutaneous nephrolithotomy (PCNL). We review the evolution of complication reporting for PCNL and suggest future directions for innovation. A selective review was carried out using Pubmed. Key search terms and their combinations included percutaneous, anatrophic, nephrolithotomy, PCNL, complications, Clavien, Martin score, bleeding, bowel injury, perforation, fever, sepsis. The references from relevant papers and reviews as well as AUA and EAU guidelines were also scanned for inclusion. PCNL has become the procedure of choice for large renal stones owing to decreased morbidity over alternative procedures. Both common and rare complications have been described in large case series, small randomized controlled trials, and case reports in an unstandardized form. Although these reports have provided an informative starting point, a standardized complication reporting methodology is necessary to enable appropriate comparisons between institutions, time periods, or innovations in technique. The Clavien-Dindo grading system has become widely accepted in urology and has facilitated the study of PCNL complications. Future research should focus on adaptions of this system to render it more comprehensive and applicable to PCNL.
      pubtype: Academic Journal
      doctype:
        proceedings
        review
        Journal Article
      ougenre: Article
    language: English
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