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Table 5 Classification of complications that occurred within 30 days from surgery according to the Clavien-Dindo classification and their treatment

From: Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications

Clavien-Dindo classification

LC (n = 289)

Conversion (n = 84)

Total (n = 373)

Treatment

Grade I-II

24 (8.3%)

15 (17.9%)

39 (10.5%)

 

Infections

   

Antimicrobial medication

 Pneumonia

8

4

12

 

 Superficial SSI

4

2

6a

 

 Urinary tract infection

1

 

1

 

 Other infection

1

2

3

 

Arrhythmias

4

 

4

Antiarrhythmic medication

High blood pressure

 

2

2

Blood pressure medication

Perioperative MI

2

 

2

Medication

Respiratory insufficiency

1

1

2

Medication

Congestion

1

1

2

Medication

Urinary retention

 

1

1

Catheterisation

Postoperative delirium

1

 

1

Medication

Nausea

 

1

1

Antiemetic medication

Perihepatic hematoma

 

1

1

Follow-up

Wound hematoma

1

 

1

Change of dressings

Grade III a-b

13 (4.5%)

7 (8.3%)

20 (5.4%)

 

Common bile duct stone

5

 

5

ERCP

Surgical site effusion

4

 

4

Drainage

Bile leak

 

3

3a

ERCP, stenting

Deep SSI; abscess

2

1

3

Drainage

Wound dehiscence

 

2

2

Re-suturation

Bleeding from urinary catheter

1

 

1

Bladder washout

Intra-abdominal bleeding

1

 

1

Laparotomy

Pneumonia; pleural effusion

 

1

1

Thoracocentesis

Grade IV a-b

2 (0.7%)

1 (1.2%)

3 (0.8%)

 

 Respiratory failure

2

1

3

Intubation, CPAP

Grade V

3 (1.0%)

2 (2.4%)

5 (1.3%)

 

Sepsis

1

 

1

 

Pneumonia

 

1

1

 

Heart failure

1

 

1

 

Anoxic brain injury during induction of anaesthesia

 

1

1

 

Renal failure

1

 

1

 

Total

42 (14.5%)

25 (29.8%)

67 (18.0%)

 
  1. The most serious complication was classified in patients who experienced multiple complications LC Laparoscopic cholecystectomy, SSI Surgical site infection, ERCP Endoscopic retrograde cholangiopancreatography, CPAP Continuous positive airway pressure, MI Myocardial infarction
  2. aThe numbers of superficial SSIs and bile leaks are reported lower here than in the text (seven respectively four), since only the most serious complication in patients with multiple complications was categorised in this table. The most serious complication in the fourth patient with a bile leak was a wound dehiscence (Clavien-Dindo grade IIIb)