Review Article

Percutaneous Nephrolithotomy: Current Clinical Opinions and Anesthesiologists Perspective

Table 1

Classification of surgical complications according to the modified Clavien grading system [6].

GradeDescription of complication

IAny deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions. Allowed therapeutic regimens are as follows: drugs as antiemetics, antipyretics, analgesics, diuretics, electrolytes, and physiotherapy. This grade also includes wound infections opened at the bedside.

IIRequiring pharmacological treatment with drugs other than such allowed for grade I complications. Blood transfusion and total parenteral nutrition are also included.

IIIRequiring surgical, endoscopic, or radiological intervention.

IIIaIntervention under regional anesthesia.

IIIbIntervention under general anesthesia.

IVLife threatening complication requiring ICU management.

IVaSingle organ dysfunction (including dialysis).

IVbMultiorgan dysfunction.

VDeath.

Modified and adapted from [6].