Early postoperative complications in pediatric abdominal solid tumor surgery according to Clavian–Dindo classification
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Jul 2022 · 1 min read
In brief
In brief
Retrospective analysis of 400+ pediatric abdominal solid tumor resections reveals 10% early complication rate, with chylous leak and surgical site collections most common. Male patients and those requiring multiple surgeries face higher complication risk, with extragonadal germ cell and hepatic tumors showing highest complication rates at 35% and 29% respectively.
Written by the GCMD Library team from the article.
Abstract
Purpose
Postoperative period after abdominal solid tumor surgery is critical regarding complications. This study aimed to detect incidence and treatment of complications.
Methods
Single center retrospective study including years 2010–2019 for early postoperative complications were documented and graded according to Clavian–Dindo classification.
Results
The overall complication rate was 10% and they were chylous leak (n = 8, 2%), collection in surgical field (n = 8, 2%), acute renal failure (n = 7, 1.7%), hemorrhage (n = 5, 1.3%), intestinal obstruction (n = 4, 1%), surgical site infection (n = 3, 0.7%), thromboembolism (n = 3, 0.7%) and peripheric neuronal event (n = 2, 0.5%). Distribution of complications according to Clavian–Dindo classification was as follows: 2 grade I, 23 grade II, 9 grade IIIb, 5 grade IVa and 1 grade V. While age and percentage of benign or malignant disease were not different in groups with or without complications (p = 0.11, p = 0.24), males had more complications than female patients (p = 0.008). Having more than one surgery aiming tumor resection was associated with increased postoperative complications (p = 0.002). Incidence of complications were highest after extragonadal germ cell tumor (35%) and hepatic tumors (29%).
Conclusions
Postoperative complications of abdominal tumor surgery are diverse in children. They are related with prolonged hospital stay and need for medical or surgical interventions. Number of surgeries, organ of origin and tumor type have an influence on risk of complications.