Evaluation of predictive factors for i-CLARAS (intraoperative complications in laparoscopic renal and adrenal surgery) : a multicentre international retrospective cohort study
Territo, Angelo (Fundació Puigvert)
di Buono, Giuseppe (Oncological and Oral Sciences. University of Palermo (Itàlia))
Buscemi, Salvatore (Oncological and Oral Sciences. University of Palermo (Itàlia))
Mantica, Guglielmo (University of Genova (Itàlia))
Falco, Vincenzo (Business and Statistics. University of Palermo (Itàlia))
Palacios, Vital Hevia (Hospital Universitario Ramón y Cajal (Madrid))
Verri, Paolo (University of Turin. San Luigi Gonzaga Hospital (Itàlia))
Antelo, Rodrigo (Unidad Renal Fundacion Favaloro (Argentina))
Rosas-Nava, Jesús Emmanuel (Hospital General de Mexico. Universidad Nacional Autonoma de Mexico)
Crisan, Nicolae (Clinical Municipal Hospital Cluj-Napoca (Romania))
Andras, Iulia Mădălina (Clinical Municipal Hospital Cluj-Napoca (Romania))
Medas, Fabio (University of Cagliari (Itàlia))
Amato, Giuseppe (Oncological and Oral Sciences. University of Palermo (Itàlia))
Romano, Giorgio (Oncological and Oral Sciences. University of Palermo (Itàlia))
Breda, Alberto (Institut de Recerca)
Agrusa, Antonino (Oncological and Oral Sciences. University of Palermo (Itàlia))
Agresta, Ferdinando (Vittorio Veneto General Hospital (Itàlia))
Adelfio, Nicoletta (Oncological and Oral Sciences. University of Palermo (Itàlia))
Amparore, Daniele (University of Turin. San Luigi Gonzaga Hospital (Itàlia))
Anania, Gabriele (Surgery and Experimental Medicine. University of Ferrara (Itàlia))
Badalamenti, Giuseppe (Oncological and Oral Sciences. University of Palermo (Itàlia))
Bagolini, Francesco (Surgery and Experimental Medicine. University of Ferrara (Itàlia))
Barletta, Gabriele (Oncological and Oral Sciences. University of Palermo (Itàlia))
Bracale, Umberto Marcello (Università degli Studi di Salerno)
Buzoianu, Maximilian (Clinical Municipal Hospital Cluj-Napoca (Romania))
Calò, Pietro Giorgio (University of Cagliari (Itàlia))
Canu, Gian Luigi (Vittorio Veneto General Hospital (Itàlia))
Cicero, Giuseppe (Oncological and Oral Sciences. University of Palermo (Itàlia))
Citarrella, Roberto (Oncological and Oral Sciences. University of Palermo (Itàlia))
Coletta, Pietro (Marche Polytechnic University (Itàlia))
Corcione, Francesco F. (Clinica Mediterranea (Itàlia))
Cuccurullo, Diego (Azienda Ospedaliera dei Colli (Itàlia))
Cucinella, Gaspare (Villa Sofia Cervello Hospital. IVF UNIT. University of Palermo (Itàlia))
Cupido, Francesco (Oncological and Oral Sciences. University of Palermo (Itàlia))
D'Angelo, Francesco (Faculty of Medicine and Psychology. St Andrea Hospital. Sapienza University (Itàlia))
Feo, Carlo V. (Surgery and Experimental Medicine. University of Ferrara (Itàlia))
Domínguez Gutiérrez, Ana (Hospital Universitario Ramón y Cajal (Madrid))
Gallioli, Andrea (Institut de Recerca Sant Pau)
Gaya, Josep Maria (Fundació Puigvert)
Geraci, Girolamo (Oncological and Oral Sciences. University of Palermo (Itàlia))
Gonzales-Mendez, Gerardo Tena (Hospital General de Mexico. Universidad Nacional Autonoma de Mexico)
Guerrieri, Mario (Marche Polytechnic University (Itàlia))
Gullo, Giuseppe (Villa Sofia Cervello Hospital. IVF UNIT. University of Palermo (Itàlia))
Iacone, Biancamaria (Azienda Ospedaliera dei Colli (Itàlia))
Labra Salgado, Isaac Roberto (Hospital General de México "Dr. Eduardo Liceaga")
Licitra, Edelweiss Giulia (Vittorio Veneto General Hospital (Itàlia))
Lopez Curtis, David (Hospital Universitario Ramón y Cajal (Madrid))
López-Plaza, José Antonio (Hospital Universitario Ramón y Cajal (Madrid))
Micheli, Matilde (Oncological and Oral Sciences. University of Palermo (Itàlia))
Montori, Giulia (Vittorio Veneto General Hospital (Itàlia))
Nevo, Nadav (Azienda Ospedaliera dei Colli (Itàlia))
Oppici, Dario (Surgery and Experimental Medicine. University of Ferrara (Itàlia))
Arellano, Leandro (Unidad Renal Fundacion Favaloro (Argentina))
Ortenzi, Monica (Marche Polytechnic University (Itàlia))
Palmieri, Miriam (Marche Polytechnic University (Itàlia))
Piccione, Antonio (University of Genova (Itàlia))
Porpiglia, Francesco (University of Turin. San Luigi Gonzaga Hospital (Itàlia))
Raffaele, Pablo Miguel (Unidad Renal Fundacion Favaloro (Itàlia))
Reggio, Stefano (Azienda Ospedaliera dei Colli (Itàlia))
Russo, Gaia (Oncological and Oral Sciences. University of Palermo (Itàlia))
Sanchez-Molina, Raúl (Fundació Puigvert)
Sanz Gomez, Isabel (Fundació Puigvert)
Saverino, Marta (University of Palermo (Itàlia))
Sibillla, Maria Grazia (Surgery and Experimental Medicine. University of Ferrara (Itàlia))
Silecchia, Gianfranco (Faculty of Medicine and Psychology. St Andrea Hospital. Sapienza University (Itàlia))
Stigliano, Antonio (Faculty of Medicine and Psychology. St Andrea Hospital. Sapienza University (Itàlia))
Tedesco, Anna (Azienda Ospedaliera dei Colli (Itàlia))
Telecan, Teodora (Clinical Municipal Hospital Cluj-Napoca (Romania))
Terrone, Carlo (University of Genova (Itàlia))
Valerio, Maria Rosaria (University of Palermo (Itàlia))
Vecco, Francesco (University of Genova (Itàlia))
Vella, Roberta (Oncological and Oral Sciences. University of Palermo (Itàlia))
Vitale, Francesco (Oncological and Oral Sciences. University of Palermo (Itàlia))
Universitat Autònoma de Barcelona

Data:	2024
Resum:	The laparoscopic approach represents the standard of treatment for renal and adrenal diseases, and its use is increasing even outside referral centres. Although most procedures are routinely performed, intraoperative complications do not occur, and the rate and predictive factors of these complications have not been established. The aim of this study was to evaluate the incidence and type of intraoperative complications and to identify predictive factors in patients undergoing laparoscopic renal and adrenal surgery. This was a cohort, multicentre, international retrospective study. Patients who underwent laparoscopic renal and adrenal surgeries between April 2017 and March 2022 were included in the study. Bivariate analysis was performed using contingency tables and the χ test for independent samples to compare qualitative variables and the T test and Mood test for continuous variables. Multivariate analysis was performed using a logistic regression model to obtain adjusted odds ratios. A total of 2374 patients were included in the study. Intraoperative complications were reported for 8. 09% of patients who underwent renal surgery, with the most common complications reported being hollow viscus and vascular complications, and for 6. 75% of patients who underwent adrenal surgery, with the most common complication reported being parenchymatous viscous complications. Multivariate analysis revealed that both adrenal and renal surgery radiological preoperative factors, such as invasive features during adrenalectomy and the RENAL score during nephrectomy, are predictive factors of intraoperative complications. In contrast to existing data, surgeon experience was not associated with a reduction in the incidence of perioperative complications.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Adrenalectomy ; Humans ; Intraoperative Complications ; Laparoscopy ; Nephrectomy ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome
Publicat a:	Scientific reports, Vol. 14 Núm. 1 (december 2024) , p. 1372, ISSN 2045-2322

DOI: 10.1038/s41598-024-51696-2
PMID: 38228705

12 p, 1.0 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
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