Year: 2012
Type: article
Study design: Observational Study
Abstract: patients.Overall perioperative morbidity rate was 18.5%.Most of them were not serious (haematuria and clot retention) and were classified as Clavien type I (42 cases; 75%) or II (8 cases, 14%).Higher grade complications were scarce: CCS IIIb in six cases (11%).No TURB related death was reported.Six patients were re-operated due to significant bleeding or clot retention on postoperative days 2-7.No significant association between Age, sex, ASA score, anti-coagulant treatment, BMI, tumor size, number of lesions and hospital stay with the number of complications were observed.On univariate (73.5 Ϯ 38 vs 36.7 Ϯ21.6 minutes) and multivariate analysis longer operative time was the only independent parameter associated with a higher risk of CCS type I complications (OR: 1.040 per minute, 95%CI 1.025-1.055,pϭ 0.001).CONCLUSIONS: The modified CCS represents a practical and easily applicable tool that may help urologists to classify the complications of TURB in a more objective and detailed way.In our experience, using this CCS tool, TURB is a safe procedure with a low morbidity rate.Post-operative bleeding is the most significant complication that determines a reoperation.A longer operative time is a significant risk factor for not serious post-operative complications.
Source: The Journal of Urology
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2164811067