Buscar en
Actas Urológicas Españolas (English Edition)
Toda la web
Inicio Actas Urológicas Españolas (English Edition) Postsurgical complications in patients with renal tumors with venous thrombosis ...
Journal Information
Vol. 42. Issue 8.
Pages 531-537 (October 2018)
Share
Share
Download PDF
More article options
ePub
Visits
3
Vol. 42. Issue 8.
Pages 531-537 (October 2018)
Original article
DOI: 10.1016/j.acuroe.2018.07.007
Postsurgical complications in patients with renal tumors with venous thrombosis treated with surgery
Complicaciones posquirúrgicas en los pacientes con tumor renal con trombosis venosa tratados con cirugía
Visits
...
J. Caño-Velasco
Corresponding author
jorcavel@gmail.com

Corresponding author.
, F. Herranz-Amo, G. Barbas-Bernardos, J. Mayor-de Castro, J. Aragón-Chamizo, G. Arnal-Chacón, E. Lledó García, C. Hernández-Fernández
Unidad de Tumores Renales con Afectación Venosa (TRAV), Servicio de Urología, H.G.U. Gregorio Marañón, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (6)
Table 1. Clinical variables.
Table 2. Pathological variables.
Table 3. Correlation between tumor thrombus level, intraoperative transfusion, and postoperative complications.
Table 4. Univariate and multivariate analysis of the possible variables related to the complications.
Table 5. Sample size (n) and thrombus level distribution of the main series reviewed.
Table 6. Percentages of global and major complications in patients with RTVT.
Show moreShow less
Abstract
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 (ClavienIII; p=0.03) depending on the level of the tumor thrombus.

Keywords:
Renal tumor
Venous thrombosis
Postsurgical complications
Resumen
Introducción y objetivo

La cirugía de los tumores renales con trombosis venosa está gravada con un porcentaje elevado de complicaciones y con una mortalidad perioperatoria no despreciable. Nuestro objetivo es analizar las complicaciones postoperatorias, su relación con el nivel del trombo y sus posibles factores favorecedores.

Materiales y métodos

Análisis retrospectivo de 101 pacientes con tumores renales con trombosis venosa intervenidos entre 1988 y 2017. Se descartaron 2 pacientes por TEP intraoperatorio y exitus (2%). Las complicaciones posquirúrgicas se clasificaron según Clavien-Dindo.

Para el contraste de variables cualitativas se ha utilizado el test de la Chi cuadrado. Se realizó un análisis multivariante mediante regresión logística binaria para identificar las variables predictoras independientes.

Resultados

En 34 (34,3%) pacientes se produjo algún tipo de complicación posquirúrgica, siendo en 11 (11,1%) graves (Clavien III-IV). Existen diferencias significativas en las complicaciones totales (p=0,003) y las graves (ClavienIII) (p=0,03) según el nivel del trombo tumoral.

Palabras clave:
Tumor renal
Trombosis venosa
Complicaciones posquirúrgicas

Article

These are the options to access the full texts of the publication Actas Urológicas Españolas (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Actas Urológicas Españolas (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos