#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Clavien–Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer


Autoři: Shimpei Miyamoto aff001;  Junichi Nakao aff002;  Takuya Higashino aff003;  Seiichi Yoshimoto aff004;  Ryuichi Hayashi aff005;  Minoru Sakuraba aff003
Působiště autorů: Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan aff001;  Department of Plastic and Reconstructive Surgery, Nippon Medical School Hospital, Tokyo, Japan aff002;  Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan aff003;  Department of Head and Neck Oncology, National Cancer Center Hospital, Tokyo, Japan aff004;  Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan aff005;  Department of Plastic and Reconstructive Surgery, Iwate Medical University, Morioka, Japan aff006
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222570

Souhrn

Background

The frequency of postoperative complications is used as an indicator of surgical quality; however, comparison of outcomes is hampered by a lack of agreement on the definition of complications and their severity. A standard grading system for surgical complications is necessary to improve the quality of clinical research and reporting in head and neck reconstruction.

Methods

The aim of this study was to compare postoperative morbidity after microvascular head and neck reconstruction between patients with versus without a history of prior radiation therapy (RT) by using the Clavien–Dindo classification. A group of 274 patients was divided into two cohorts based on the history of prior RT: the RT group included 79 patients and the non-RT group included 195 patients. Postoperative (30-day) complications were compared between the groups with a nonstandardized evaluation system and the Clavien–Dindo classification.

Results

The grades of complications according to the Clavien–Dindo classification were significantly higher in the RT group than in the non-RT group. The frequency of postoperative complications did not differ significantly between the groups according to the nonstandardized evaluation system.

Conclusions

The Clavien–Dindo classification could serve as a useful, highly objective tool for grading operative morbidity after microvascular head and neck reconstruction when comparing similar defects and methods of reconstruction. Widespread use of the Clavien–Dindo classification system would allow adequate comparisons of surgical outcomes among different surgeons, centers, and therapies.

Klíčová slova:

Biology and life sciences – Anatomy – Neck – Head – Digestive system – Gastrointestinal tract – Jejunum – Medicine and health sciences – Surgical and invasive medical procedures – Otolaryngological procedures – Plastic surgery and reconstructive techniques – Oncology – Cancer treatment – Radiation therapy – Clinical oncology – Clinical medicine – Diagnostic medicine – Signs and symptoms – Fistulas – Pathology and laboratory medicine


Zdroje

1. Perisanidis C, Herberger B, Papadogeorgakis N, Seemann R, Eder-Czembirek C, Tamandl D, et al. Complications after free flap surgery: do we need a standardized classification of surgical complications? Br J Oral Maxillofac Surg. 2012;50(2):113–8. doi: 10.1016/j.bjoms.2011.01.013 21345554.

2. Bosma E, Veen EJ, de Jongh MA, Roukema JA. Variable impact of complications in general surgery: a prospective cohort study. Can J Surg. 2012;55(3):163–70. doi: 10.1503/cjs.027810 22449724.

3. Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187–96. doi: 10.1097/SLA.0b013e3181b13ca2 19638912.

4. Monteiro E, Sklar MC, Eskander A, de Almeida JR, Shrime M, Gullane P, et al. Assessment of the Clavien-Dindo classification system for complications in head and neck surgery. Laryngoscope. 2014;124(12):2726–31. doi: 10.1002/lary.24817 25263590.

5. Clavien PA, Sanabria JR, Strasberg SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery. 1992;111(5):518–26. 1598671.

6. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13. doi: 10.1097/01.sla.0000133083.54934.ae 15273542.

7. Mothes AR, Mothes HK, Radosa MP, Runnebaum IB. Systematic assessment of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ prolapse adopting Clavien-Dindo classification. Arch Gynecol Obstet. 2015;291(6):1297–301. doi: 10.1007/s00404-014-3549-1 25430736.

8. Poletajew S, Zapala L, Piotrowicz S, Wolyniec P, Sochaj M, Buraczynski P, et al. Interobserver variability of Clavien-Dindo scoring in urology. Int J Urol. 2014;21(12):1274–8. doi: 10.1111/iju.12576 25039893.

9. Tamura S, Sugawara Y, Kaneko J, Yamashiki N, Kishi Y, Matsui Y, et al. Systematic grading of surgical complications in live liver donors according to Clavien's system. Transpl Int. 2006;19(12):982–7. doi: 10.1111/j.1432-2277.2006.00375.x 17081227.

10. le Nobel GJ, Higgins KM, Enepekides DJ. Predictors of complications of free flap reconstruction in head and neck surgery: Analysis of 304 free flap reconstruction procedures. Laryngoscope. 2012;122(5):1014–9. doi: 10.1002/lary.22454 22407907.

11. McMahon JD, MacIver C, Smith M, Stathopoulos P, Wales C, McNulty R, et al. Postoperative complications after major head and neck surgery with free flap repair—prevalence, patterns, and determinants: a prospective cohort study. Br J Oral Maxillofac Surg. 2013;51(8):689–95. doi: 10.1016/j.bjoms.2013.04.015 23727043.

12. Miyamoto S, Sakuraba M, Nagamatsu S, Hayashi R. Salvage total pharyngolaryngectomy and free jejunum transfer. Laryngoscope. 2011;121(5):947–51. doi: 10.1002/lary.21742 21520107.

13. Katayama H, Kurokawa Y, Nakamura K, Ito H, Kanemitsu Y, Masuda N, et al. Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today. 2016;46(6):668–85. doi: 10.1007/s00595-015-1236-x 26289837.

14. Herle P, Shukla L, Morrison WA, Shayan R. Preoperative radiation and free flap outcomes for head and neck reconstruction: a systematic review and meta-analysis. ANZ J Surg. 2015;85(3):121–7. doi: 10.1111/ans.12888 25345755.

15. Haughey BH, Wilson E, Kluwe L, Piccirillo J, Fredrickson J, Sessions D, et al. Free flap reconstruction of the head and neck: analysis of 241 cases. Otolaryngol Head Neck Surg. 2001;125(1):10–7. doi: 10.1067/mhn.2001.116788 11458207.

16. Suh JD, Sercarz JA, Abemayor E, Calcaterra TC, Rawnsley JD, Alam D, et al. Analysis of outcome and complications in 400 cases of microvascular head and neck reconstruction. Arch Otolaryngol Head Neck Surg. 2004;130(8):962–6. doi: 10.1001/archotol.130.8.962 15313867.

17. Onoda S, Kimata Y, Sugiyama N, Onoda T, Mizukawa N. Effects of radiation therapy on postoperative complications and adverse events in patients with head and neck reconstruction with flaps. Microsurgery. 2014;34(7):516–21. doi: 10.1002/micr.22275 24817499.

18. Radosa MP, Meyberg-Solomayer G, Radosa J, Vorwergk J, Oettler K, Mothes A, et al. Standardised Registration of Surgical Complications in Laparoscopic-Gynaecological Therapeutic Procedures Using the Clavien-Dindo Classification. Geburtshilfe Frauenheilkd. 2014;74(8):752–8. doi: 10.1055/s-0034-1382925 25221343.

19. Yu P, Lewin JS, Reece GP, Robb GL. Comparison of clinical and functional outcomes and hospital costs following pharyngoesophageal reconstruction with the anterolateral thigh free flap versus the jejunal flap. Plast Reconstr Surg. 2006;117(3):968–74. doi: 10.1097/01.prs.0000200622.13312.d3 16525294.

20. Spyropoulou GA, Lin PY, Chien CY, Kuo YR, Jeng SF. Reconstruction of the hypopharynx with the anterolateral thigh flap: defect classification, method, tips, and outcomes. Plast Reconstr Surg. 2011;127(1):161–72. doi: 10.1097/PRS.0b013e3181f95997 21200210.

21. Murray DJ, Gilbert RW, Vesely MJ, Novak CB, Zaitlin-Gencher S, Clark JR, et al. Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube. Head Neck. 2007;29(2):147–54. doi: 10.1002/hed.20489 17022086.


Článek vyšel v časopise

PLOS One


2019 Číslo 9
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 3/2024 (znalostní test z časopisu)
nový kurz

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Aktuální možnosti diagnostiky a léčby litiáz
Autoři: MUDr. Tomáš Ürge, PhD.

Závislosti moderní doby – digitální závislosti a hypnotika
Autoři: MUDr. Vladimír Kmoch

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#