Postsurgical complications in patients with renal tumors with venous thrombosis treated with surgery
| Autor: | G. Barbas-Bernardos, J. Mayor-de Castro, F. Herranz-Amo, J. Aragón-Chamizo, E. Lledó García, J. Caño-Velasco, G. Arnal-Chacón, Carlos Hernández-Fernández |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis business.industry 030232 urology & nephrology General Medicine Perioperative medicine.disease Logistic regression Surgery 03 medical and health sciences Venous thrombosis 0302 clinical medicine 030220 oncology & carcinogenesis medicine Retrospective analysis In patient Postsurgical complications Complication business |
| Zdroj: | Actas Urológicas Españolas (English Edition). 42:531-537 |
| ISSN: | 2173-5786 |
| Popis: | Background and objective Surgery on renal tumors with venous tumor thrombus presents a high complication rate and non-negligible perioperative mortality. Our objective was to analyze the postoperative complications, their relationship with the level of the tumor thrombus and its potential predisposing factors. Materials and methods A retrospective analysis was conducted in 101 patients with renal and venous tumor thrombus operated on between 1988 and 2017. Two patients were excluded because of intraoperative pulmonary thromboembolism and exitus (2%). The postsurgical complications were classified according to Clavien–Dindo classification system. To compare the qualitative variables, we employed the chi-squared test. We performed a multivariate analysis using binary logistic regression to identify the independent predictors. Results Some type of postsurgical complication occurred in 34 (34.3%) patients, 11 (11.1%) of which were severe (Clavien III–V). There were significant differences in the total complications (p = 0.003) and severe complications (Clavien ≥ III; p = 0.03) depending on the level of the tumor thrombus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect