Feasibility of E-PASS score to predict postoperative complications in laparoscopic nephrectomy.
E-PASS score
Laparoscopic nephrectomy
Postoperative complications
Journal
International urology and nephrology
ISSN: 1573-2584
Titre abrégé: Int Urol Nephrol
Pays: Netherlands
ID NLM: 0262521
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
05
03
2022
accepted:
12
05
2022
pubmed:
30
6
2022
medline:
16
8
2022
entrez:
29
6
2022
Statut:
ppublish
Résumé
To evaluate the usefulness of E-PASS score to predict postoperative complications after laparoscopic nephrectomy. Between 2008 and 2020, 424 patients (179 patients: simple nephrectomy, 158 patients: radical nephrectomy, 87 patients: donor nephrectomy) who underwent laparoscopic nephrectomy in our clinic, were included in the study. Patient groups separated according to the presence of postoperative complications were compared retrospectively regarding demographic, clinical, intraoperative, and postoperative data, comorbidities, and E-PASS scores (PRS, SSS, and CRS). The relationship between postoperative complications and E-PASS scores was examined. Postoperative complications occurred in 43 (10.1%) of the patients. Age, previous abdominal/retroperitoneal surgery, radical nephrectomy rate of surgeries, operation time, amount of bleeding, need for blood transfusion, rate of conversion from laparoscopic surgery to open surgery, hospitalization time, E-PASS PRS, SSS, and CRS were statistically significantly higher in the group with postoperative complications. The cutoff value of the E-PASS CRS was - 0.2996 to predict the development of postoperative complications (AUC = 0.706; 95% CI 0.629-0.783; p < 0.001). According to multivariate analysis, presence of previous abdominal/retroperitoneal surgery (OR 2.977; 95% CI 1.502-5.899; p = 0.002), laparoscopic radical nephrectomy (OR 2.518; 95% CI 1.224-5.179; p = 0.012), conversion from laparoscopic surgery to open surgery (OR 4.869; 95% CI 1.046-22.669; p = 0.044) and E-PASS CRS > - 0.2996 (OR 2.816; 95% CI 1.321-6.004; p = 0.007) were found to be independent risk factors predicting postoperative complications. The E-PASS scoring system is an effective and convenient system for predicting postoperative complications after laparoscopic nephrectomy.
Identifiants
pubmed: 35767201
doi: 10.1007/s11255-022-03269-3
pii: 10.1007/s11255-022-03269-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2149-2156Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature B.V.
Références
Winfield HN, Donovan JF, See WA, Loening SA, Williams RD (1991) Urological laparoscopic surgery. J Urol 146:941–948
doi: 10.1016/S0022-5347(17)37970-3
Yanai Y, Takeda T, Miyajima A et al (2019) Is transperitoneal laparoscopic radical nephrectomy suitable for patients with a history of abdominal surgery? Asian J Endosc Surg 12(4):429–433
doi: 10.1111/ases.12673
Xu H, Ding Q, Jiang HW (2014) Fewer complications after laparoscopic nephrectomy as compared to the open procedure with the modified Clavien classification system—a retrospective analysis from southern China. World J Surg Oncol 12:242
doi: 10.1186/1477-7819-12-242
Garg M, Singh V, Sinha RJ, Sharma P (2014) Prospective randomized comparison of transperitoneal vs retroperitoneal laparoscopic simple nephrectomy. Urology 84(2):335–339
doi: 10.1016/j.urology.2014.04.038
Srivastava A, Bansal A, Sureka SK et al (2018) A retrospective analysis of complications of laparoscopic left donor nephrectomy using the Kocak’s modification of Clavien–Dindo system. Indian J Urol 34:133–139
doi: 10.4103/iju.IJU_111_17
Reifsnyder JE, Ramasamy R, Ng CK et al (2012) Laparoscopic and open partial nephrectomy: complication comparison using the Clavien system. JSLS 16:38–44
doi: 10.4293/108680812X13291597716942
Tabibian N, Swehli E, Boyd A, Umbreen A, Tabibian JH (2017) Abdominal adhesions: a practical review of an often overlooked entity. Ann Med Surg 15:9–13
doi: 10.1016/j.amsu.2017.01.021
Seetahal S, Obirieze A, Cornwell EE 3rd, Fullum T, Tran D (2015) Open abdominal surgery: a risk factor for future laparoscopic surgery? Am J Surg 209:623–626
doi: 10.1016/j.amjsurg.2014.12.017
Breish MO, Whiting D, Sriprasad S (2020) Laparoscopic nephrectomy in patients with previous abdominal surgery. Cureus 12(2):6991
Haga Y, Wada Y, Takeuchi H et al (2004) Estimation of physiologic ability and surgical stress (E-PASS) for a surgical audit in elective digestive surgery. Surgery 135(6):586–594
doi: 10.1016/j.surg.2003.11.012
Hirose J, Mizuta H, Ide J, Nomura K (2008) Evaluation of estimation of physiologic ability and surgical stress (E-PASS) to predict the postoperative risk for hip fracture in elder patients. Arch Orthop Trauma Surg 128(12):1447–1452
doi: 10.1007/s00402-007-0551-0
Hirose J, Taniwaki T, Fujimoto T et al (2015) Validity of E-PASS system for postoperative morbidity of spinal surgery. J Spinal Disord Tech 28(10):595–600
doi: 10.1097/BSD.0000000000000056
Sugi M, Harada J, Inui H, et al (2011) Laparoscopic renal surgery in the elderly. Hinyokika Kiyo 57(11):603–6 (in Japanese)
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213
doi: 10.1097/01.sla.0000133083.54934.ae
Olcucuoglu E (2020) Comparing the complications of laparoscopically performed simple, radical and donor nephrectomy. Turk J Med Sci 50(4):922–929
doi: 10.3906/sag-1910-120
Kutikov A, Uzzo RG, The RENAL (2009) nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth. J Urol 182(3):844–853
doi: 10.1016/j.juro.2009.05.035
Ficarra V, Novara G, Secco S et al (2009) Preoperative aspects and dimensions used for an anatomical (PADUA) classification of renal tumours in patients who are candidates for nephron-sparing surgery. Eur Urol 56(5):786–793
doi: 10.1016/j.eururo.2009.07.040
Simmons MN, Hillyer SP, Lee BH, et al (2012) Diameter-axial-polar nephrometry: integration and optimization of R.E.N.A.L. and centrality index scoring systems. J Urol 188 (2):384–90
Coelen RJ, Olthof PB, van Dieren S et al (2016) External validation of the estimation of physiologic ability and surgical stress (E-PASS) risk model to predict operative risk in Perihilar cholangiocarcinoma. JAMA Surg 151(12):1132–1138
doi: 10.1001/jamasurg.2016.2305
Kondo H, Hirano Y, Ishii T et al (2020) E-PASS scoring system may be useful for prediction of postoperative complications in super elderly colorectal cancer surgery patients. J Anus Rectum Colon 4(3):137–144
doi: 10.23922/jarc.2020-017
Pareek G, Hedican SP, Gee JR, Bruskewitz RC, Nakada SY (2006) Meta-analysis of the complications of laparoscopic renal surgery: comparison of procedures and techniques. J Urol 175(4):1208–1213
doi: 10.1016/S0022-5347(05)00639-7
Mitropoulos D, Artibani W, Graefen M, et al (2014) Guidelines on reporting and grading of complications after urological surgical procedures. European Association of Urology Arnhem 1–16
Lowrance WT, Yee DS, Savage C et al (2010) Complications after radical and partial nephrectomy as a function of age. J Urol 183:1725–1730
doi: 10.1016/j.juro.2009.12.101
Permpongkosol S, Link RE, Su LM et al (2007) Complications of 2,775 urological laparoscopic procedures: 1993–2005. J Urol 177:580–585
doi: 10.1016/j.juro.2006.09.031
Parsons JK, Varkarakis I, Rha KH et al (2007) Complications of abdominal urologic laparoscopy: longitudinal five-year analysis. Urology 63:27–32
doi: 10.1016/j.urology.2003.10.003
Kim BS, Yoo ES, Kwon TG (2009) Complications of transperitoneal laparoscopic nephrectomy: a single-center experience. Urology 73(6):1283–1287
doi: 10.1016/j.urology.2009.01.017