Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis

R. Henneman; D.M.S. Berger; M.B. Karakullukcu; L.E. Smeele; P.F.J.M. Lohuis; K. Jóźwiak; J.A. van der Hage; A.J.M. Balm

doi:10.1016/j.ejso.2019.10.028

Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis

R. Henneman, D.M.S. Berger, M.B. Karakullukcu, L.E. Smeele, P.F.J.M. Lohuis, K. Jóźwiak, J.A. van der Hage, A.J.M. Balm

Maxillofacial Surgery (AMC)

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: Surgical resection is the standard of care for parotid gland tumors. Comprehensive reports on the surgical complications of parotidectomy are lacking. This study focuses on surgical wound complications of parotid gland surgery.
Patients and methods: In the period 2002–2012, 390 consecutive patients (395 procedures) who underwent parotid gland surgery were selected for retrospective analysis. Based on subsequent management, the impact of surgical site complications was graded by the Clavien-Dindo Classification (CDC).
Results: In 83 (21.0%) of the procedures, at least one complication was registered. In total, 118 complications were described. Rated to CDC, 61 patients (15.4%) were graded as class 2 or higher. This implies therapy was dictated. Fortyfive (11.4%) of the complications were surgical site infections (SSI). In 9 patients (2.3%) surgical complications required a surgical intervention under general anesthesia (CDC class 3b), and in 19 patients (4.8%) other invasive treatment (CDC class 3a) was needed. Conclusions: The Clavien-Dindo Classification proved to be very useful for retrospective registration of surgical complications. Of the 61 patients, 33 were managed by conservative therapy. No risk profile was found for patients at risk for direct surgical complications.

Original language	English
Pages (from-to)	258-262
Journal	European Journal of Surgical Oncology
Volume	46
Issue number	2
DOIs	https://doi.org/10.1016/j.ejso.2019.10.028
Publication status	Published - 1 Feb 2020

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Henneman, R., Berger, D. M. S., Karakullukcu, M. B., Smeele, L. E., Lohuis, P. F. J. M., Jóźwiak, K., van der Hage, J. A., & Balm, A. J. M. (2020). Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis. European Journal of Surgical Oncology, 46(2), 258-262. https://doi.org/10.1016/j.ejso.2019.10.028

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title = "Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis",

abstract = "Background: Surgical resection is the standard of care for parotid gland tumors. Comprehensive reports on the surgical complications of parotidectomy are lacking. This study focuses on surgical wound complications of parotid gland surgery. Patients and methods: In the period 2002–2012, 390 consecutive patients (395 procedures) who underwent parotid gland surgery were selected for retrospective analysis. Based on subsequent management, the impact of surgical site complications was graded by the Clavien-Dindo Classification (CDC). Results: In 83 (21.0%) of the procedures, at least one complication was registered. In total, 118 complications were described. Rated to CDC, 61 patients (15.4%) were graded as class 2 or higher. This implies therapy was dictated. Fortyfive (11.4%) of the complications were surgical site infections (SSI). In 9 patients (2.3%) surgical complications required a surgical intervention under general anesthesia (CDC class 3b), and in 19 patients (4.8%) other invasive treatment (CDC class 3a) was needed. Conclusions: The Clavien-Dindo Classification proved to be very useful for retrospective registration of surgical complications. Of the 61 patients, 33 were managed by conservative therapy. No risk profile was found for patients at risk for direct surgical complications.",

author = "R. Henneman and D.M.S. Berger and M.B. Karakullukcu and L.E. Smeele and P.F.J.M. Lohuis and K. J{\'o}{\'z}wiak and {van der Hage}, J.A. and A.J.M. Balm",

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day = "1",

doi = "10.1016/j.ejso.2019.10.028",

language = "English",

volume = "46",

pages = "258--262",

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Henneman, R, Berger, DMS, Karakullukcu, MB, Smeele, LE, Lohuis, PFJM, Jóźwiak, K, van der Hage, JA & Balm, AJM 2020, 'Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis', European Journal of Surgical Oncology, vol. 46, no. 2, pp. 258-262. https://doi.org/10.1016/j.ejso.2019.10.028

TY - JOUR

T1 - Surgical site complications after parotid gland surgery for benign tumors in a centralized setting

T2 - A Clavien-Dindo class cohort analysis

AU - Henneman, R.

AU - Berger, D.M.S.

AU - Karakullukcu, M.B.

AU - Smeele, L.E.

AU - Lohuis, P.F.J.M.

AU - Jóźwiak, K.

AU - van der Hage, J.A.

AU - Balm, A.J.M.

PY - 2020/2/1

Y1 - 2020/2/1

N2 - Background: Surgical resection is the standard of care for parotid gland tumors. Comprehensive reports on the surgical complications of parotidectomy are lacking. This study focuses on surgical wound complications of parotid gland surgery. Patients and methods: In the period 2002–2012, 390 consecutive patients (395 procedures) who underwent parotid gland surgery were selected for retrospective analysis. Based on subsequent management, the impact of surgical site complications was graded by the Clavien-Dindo Classification (CDC). Results: In 83 (21.0%) of the procedures, at least one complication was registered. In total, 118 complications were described. Rated to CDC, 61 patients (15.4%) were graded as class 2 or higher. This implies therapy was dictated. Fortyfive (11.4%) of the complications were surgical site infections (SSI). In 9 patients (2.3%) surgical complications required a surgical intervention under general anesthesia (CDC class 3b), and in 19 patients (4.8%) other invasive treatment (CDC class 3a) was needed. Conclusions: The Clavien-Dindo Classification proved to be very useful for retrospective registration of surgical complications. Of the 61 patients, 33 were managed by conservative therapy. No risk profile was found for patients at risk for direct surgical complications.

AB - Background: Surgical resection is the standard of care for parotid gland tumors. Comprehensive reports on the surgical complications of parotidectomy are lacking. This study focuses on surgical wound complications of parotid gland surgery. Patients and methods: In the period 2002–2012, 390 consecutive patients (395 procedures) who underwent parotid gland surgery were selected for retrospective analysis. Based on subsequent management, the impact of surgical site complications was graded by the Clavien-Dindo Classification (CDC). Results: In 83 (21.0%) of the procedures, at least one complication was registered. In total, 118 complications were described. Rated to CDC, 61 patients (15.4%) were graded as class 2 or higher. This implies therapy was dictated. Fortyfive (11.4%) of the complications were surgical site infections (SSI). In 9 patients (2.3%) surgical complications required a surgical intervention under general anesthesia (CDC class 3b), and in 19 patients (4.8%) other invasive treatment (CDC class 3a) was needed. Conclusions: The Clavien-Dindo Classification proved to be very useful for retrospective registration of surgical complications. Of the 61 patients, 33 were managed by conservative therapy. No risk profile was found for patients at risk for direct surgical complications.

U2 - 10.1016/j.ejso.2019.10.028

DO - 10.1016/j.ejso.2019.10.028

M3 - Article

C2 - 31706718

SN - 0748-7983

VL - 46

SP - 258

EP - 262

JO - European Journal of Surgical Oncology

JF - European Journal of Surgical Oncology

IS - 2

ER -

Surgical site complications after parotid gland surgery for benign tumors in a centralized setting: A Clavien-Dindo class cohort analysis

Abstract

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