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泌尿外科手术并发症的报告与分级:当前趋势与未来展望

Reporting and Grading of Complications in Urological Surgery: Current Trends and Future Perspectives.

作者信息

Katsimperis Stamatios, Bellos Themistoklis, Manolitsis Ioannis, Kyriazis Ioannis, Angelopoulos Panagiotis, Neophytou Panagiotis, Kapsalos Sotirios, Kostakopoulos Nikolaos, Tzelves Lazaros, Varkarakis Ioannis, Papatsoris Athanasios, Skolarikos Andreas, Mitsogiannis Iraklis

机构信息

Department of Urology, University of Athens, Sismanogleio General Hospital, Athens, Greece.

Department of Urology, Metropolitan General, Athens, Greece.

出版信息

Urol Res Pract. 2024 Oct 21;50(3):154-159. doi: 10.5152/tud.2024.24050.

DOI:10.5152/tud.2024.24050
PMID:39495560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562925/
Abstract

There has been a growing need for enhancements in healthcare delivery, especially for the improvement of surgical outcomes. Therefore, implementing consistent reporting of complications enables the evaluation of data quality and facilitates its comparison. There are currently many available reporting and grading systems each with its own set of benefits and drawbacks. In this comprehensive review, we tried to present and assess each of them by demonstrating their criteria and their strong and weak points. To sum up, it seems that there is a need for developing a new reporting and categorization system for complications that are specific to urology.

摘要

对改善医疗服务的需求日益增长,尤其是在提高手术效果方面。因此,实施并发症的一致报告有助于评估数据质量并便于进行比较。目前有许多可用的报告和分级系统,每个系统都有其自身的优缺点。在这篇全面综述中,我们试图通过展示它们的标准以及优缺点来介绍和评估每一个系统。总之,似乎有必要为泌尿外科特有的并发症开发一种新的报告和分类系统。

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Complications After Radical Cystectomy: A Systematic Review and Meta-analysis of Randomized Controlled Trials with a Meta-regression Analysis.根治性膀胱切除术的并发症:随机对照试验的系统评价和荟萃分析,并进行荟萃回归分析。
Eur Urol Focus. 2023 Nov;9(6):920-929. doi: 10.1016/j.euf.2023.05.002. Epub 2023 May 26.
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Retzius-sparing robot-assisted radical prostatectomy after previous trans-urethral resection of the prostate: Assessment of functional and oncological outcomes.保留 Retzius 间隙的机器人辅助前列腺根治性切除术治疗 TURP 术后前列腺癌:功能和肿瘤学结局评估。
Eur J Surg Oncol. 2023 Aug;49(8):1524-1535. doi: 10.1016/j.ejso.2023.03.218. Epub 2023 Mar 16.
3
Intraoperative complication of radical cystectomy for muscle-invasive bladder cancer: does the surgical approach matter? A retrospective multicenter study using the EAUiaiC classification.根治性膀胱切除术治疗肌层浸润性膀胱癌的术中并发症:手术方式重要吗?采用 EAUiaiC 分类的回顾性多中心研究。
World J Urol. 2023 Apr;41(4):1061-1067. doi: 10.1007/s00345-023-04340-z. Epub 2023 Feb 27.
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The CUSUM curve combined with comprehensive complication index for assessing short-term complications of radical cystectomy.CUSUM 曲线联合综合并发症指数评估根治性膀胱切除术的短期并发症。
J Clin Lab Anal. 2022 Sep;36(9):e24616. doi: 10.1002/jcla.24616. Epub 2022 Jul 26.
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Intraoperative complications in kidney tumor surgery: critical grading for the European Association of Urology intraoperative adverse incident classification.肾肿瘤手术中的术中并发症:欧洲泌尿外科学会术中不良事件分类的关键分级。
Scand J Urol. 2022 Aug;56(4):293-300. doi: 10.1080/21681805.2022.2089228. Epub 2022 Jun 22.
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The Intraoperative Complications Assessment and Reporting with Universal Standards (ICARUS) Global Surgical Collaboration Project: Development of Criteria for Reporting Adverse Events During Surgical Procedures and Evaluating Their Impact on the Postoperative Course.通用标准术中并发症评估与报告(ICARUS)全球外科协作项目:制定手术过程中不良事件报告标准并评估其对术后病程的影响。
Eur Urol Focus. 2022 Nov;8(6):1847-1858. doi: 10.1016/j.euf.2022.01.018. Epub 2022 Feb 15.
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Comparison of comprehensive complication index and Clavien-Dindo classification in patients with retroperitoneal sarcoma.比较腹膜后肉瘤患者的综合并发症指数和 Clavien-Dindo 分级。
J Surg Oncol. 2021 Dec;124(7):1166-1172. doi: 10.1002/jso.26612. Epub 2021 Jul 20.
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