Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria
Hiroshi Katayama,Yukinori Kurokawa,Kenichi Nakamura,Hiroyuki Ito,Yukihide Kanemitsu,Norikazu Masuda,Yasuhiro Tsubosa,Toyomi Satoh,Akira Yokomizo,Haruhiko Fukuda,Mitsuru Sasako +10 more
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TLDR
The JCOG postoperative complications criteria (JCOG PC criteria) aim to standardize the terms used to define adverse events (AEs) and provide detailed grading guidelines based on the Clavien-Dindo classification.Abstract:
Prior to publication of the Clavien-Dindo classification in 2004, there were no grading definitions for surgical complications in either clinical practice or surgical trials. This report establishes supplementary criteria for this classification to standardize the evaluation of postoperative complications in clinical trials. The Japan Clinical Oncology Group (JCOG) commissioned a committee. Members from nine surgical study groups (gastric, esophageal, colorectal, lung, breast, gynecologic, urologic, bone and soft tissue, and brain) specified postoperative complications experienced commonly in their fields and defined more detailed grading criteria for each complication in accordance with the general grading rules of the Clavien-Dindo classification. We listed 72 surgical complications experienced commonly in surgical trials, focusing on 17 gastroenterologic complications, 13 infectious complications, six thoracic complications, and several other complications. The grading criteria were defined simply and were optimized for surgical complications. The JCOG postoperative complications criteria (JCOG PC criteria) aim to standardize the terms used to define adverse events (AEs) and provide detailed grading guidelines based on the Clavien-Dindo classification. We believe that the JCOG PC criteria will allow for more precise comparisons of the frequency of postoperative complications among trials across many different surgical fields.read more
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Short-term surgical outcomes from a phase III study of laparoscopy-assisted versus open distal gastrectomy with nodal dissection for clinical stage IA/IB gastric cancer: Japan Clinical Oncology Group Study JCOG0912
Hitoshi Katai,Junki Mizusawa,Hiroshi Katayama,Masakazu Takagi,Takaki Yoshikawa,Takeo Fukagawa,Masanori Terashima,Kazunari Misawa,Shin Teshima,Keisuke Koeda,Souya Nunobe,Norimasa Fukushima,Takashi Yasuda,Yoshito Asao,Yoshiyuki Fujiwara,Mitsuru Sasako +15 more
TL;DR: This trial confirmed that LADG was as safe as ODG in terms of adverse events and short-term clinical outcomes, and may be an alternative procedure in clinical IA/IB gastric cancer if the noninferiority of L ADG in Terms of RFS is confirmed.
Journal ArticleDOI
The FUTURE Trial: A Multicenter Randomised Controlled Trial on Target Biopsy Techniques Based on Magnetic Resonance Imaging in the Diagnosis of Prostate Cancer in Patients with Prior Negative Biopsies
O. Wegelin,Leonie Exterkate,Marloes van der Leest,Jean A. Kummer,W. Vreuls,Peter C. de Bruin,J.L.H. Ruud Bosch,Jelle O. Barentsz,Diederik M. Somford,Harm H.E. van Melick +9 more
TL;DR: The detection rates of (aggressive) prostate cancer among men with prior negative biopsies and a persistent suspicion of cancer using three different techniques of targeted biopsy based on magnetic resonance imaging were found to be no significant differences.
Journal ArticleDOI
Potential advantages of robotic radical gastrectomy for gastric adenocarcinoma in comparison with conventional laparoscopic approach: a single institutional retrospective comparative cohort study
TL;DR: The use of the surgical robot might reduce surgery-related complications, leading to further improvement in short-term postoperative courses following minimally invasive radical gastrectomy.
Journal ArticleDOI
Survival outcomes after laparoscopy-assisted distal gastrectomy versus open distal gastrectomy with nodal dissection for clinical stage IA or IB gastric cancer (JCOG0912): a multicentre, non-inferiority, phase 3 randomised controlled trial.
Hitoshi Katai,Junki Mizusawa,Hiroshi Katayama,Shinji Morita,Takanobu Yamada,Etsuro Bando,Seiji Ito,Masakazu Takagi,Akinori Takagane,Shin Teshima,Keisuke Koeda,Souya Nunobe,Takaki Yoshikawa,Masanori Terashima,Mitsuru Sasako +14 more
TL;DR: This trial supports the non-inferiority of L ADG compared with ODG for clinical stage I gastric cancer relapse-free survival, suggesting that LADG should be considered a standard treatment option when performed by experienced surgeons.
Journal ArticleDOI
Surgical outcomes in gastroenterological surgery in Japan: Report of National Clinical database 2011-2016.
Hiroshi Hasegawa,Arata Takahashi,Yoshihiro Kakeji,Hideki Ueno,Susumu Eguchi,Itaru Endo,Akira Sasaki,Shuji Takiguchi,Hiroya Takeuchi,Masaji Hashimoto,Akihiko Horiguchi,Tadahiko Masaki,Shigeru Marubashi,Kazuhiro Yoshida,Hiroyuki Konno,Mitsukazu Gotoh,Hiroaki Miyata,Hiroaki Miyata,Yasuyuki Seto +18 more
TL;DR: Remarkably, mortality rates of low anterior resection were very low, and those of hepatectomy and acute diffuse peritonitis surgery have been gradually decreasing, and although the complication rates were gradually increasing for esophagectomy or pancreaticoduodenectomy, the mortality rates for these procedures were decreasing.
References
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Journal ArticleDOI
Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
TL;DR: The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
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The Clavien-Dindo classification of surgical complications: five-year experience.
Pierre A. Clavien,Jeffrey Barkun,Michelle L. de Oliveira,Jean Nicolas Vauthey,Daniel Dindo,Richard D. Schulick,Eduardo de Santibañes,Juan Pekolj,Ksenija Slankamenac,Claudio Bassi,Rolf Graf,René Vonlanthen,Robert Padbury,John L. Cameron,Masatoshi Makuuchi +14 more
TL;DR: This 5-year evaluation provides strong evidence that the classification of complications is valid and applicable worldwide in many fields of surgery, and subjective, inaccurate, or confusing terms such as “minor or major” should be removed from the surgical literature.
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A comparison of laparoscopically assisted and open colectomy for colon cancer.
Heidi Nelson,Daniel J. Sargent,H Sam Wieand,James W. Fleshman,Mehran Anvari,Steven J. Stryker,Robert W. Beart,Michael D. Hellinger,Richard Flanagan,Walter R. Peters,David M. Ota +10 more
TL;DR: In this multi-institutional study, the rates of recurrent cancer were similar after laparoscopically assisted colectomy and open-colectomy, suggesting that the laparoscopic approach is an acceptable alternative to open surgery for colon cancer.
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Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial
Pierre J. Guillou,Philip Quirke,H. Thorpe,J. Walker,David G. Jayne,Adrian Smith,Richard M. Heath,Julia Brown +7 more
TL;DR: Laroscopic-assisted surgery for cancer of the colon is as effective as open surgery in the short term and is likely to produce similar long-term outcomes, however, impaired short- term outcomes after laparosc-assisted anterior resection forcancer of the rectum do not yet justify its routine use.
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Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial.
R. Veldkamp,Esther Kuhry,Wim C. J. Hop,Johannes Jeekel,Geert Kazemier,Hendrik J. Bonjer,Eva Haglind,Lars Påhlman,Miguel A. Cuesta,Simon Msika,M. Morino,Antonio M. Lacy +11 more
TL;DR: Laroscopic colectomy was associated with earlier recovery of bowel function, need for fewer analgesics, and with a shorter hospital stay compared with open colectology.