ISSN: 1859 - 2872
Applicability of Clavien-Dindo score in monitoring patients after mini percutaneous nephrolithotomy
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Abstract
Objective: To evaluate applicability of modified Clavien Dindo score in monitoring patients after mini percutaneous nephrolithotomy (mini-PCNL). Subject and method: A prospective study of 72 kidney stones case treated by mini-PCNL management at 108 Military Central Hospital from Jan 2020 to April 2020. The modified Clavien classfication system, which classfies the perioperative complications into 5 grade, was applied. Result: 51 males (70.8%) and 21 females (29.2%) with the average age of 52.2 ± 10.2 (range from 30 to 80 years old). Stone site: Renal pelvis: (22.2%), lower calyx (50%), pelvis and 1 calyx: (26.4%), Average operative time: 87.5 ± 21.7 minutes (40 - 140). Laser lithotripsy and stone removal were successful in 100% cases. The rate of postoperative early complication was 12.5% (fever post operated). The mean of hospital stay: 6.8 ± 3.6 days (5 ÷ 10). Nephrostomy tube removal after: 2.0 ± 0.76 days (2 ÷ 5). No severe complications. Conclusion: Using the modified Clavien Dindo score in evaluating surgical complications helps to statistically report symtemic complications, helping the patient’s monitoring of nursing be effective.
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