ÁP DỤNG THANG ĐIỂM CLAVIEN-DINDO TRONG ĐÁNH GIÁ BIẾN CHỨNG NGOẠI KHOA BỆNH NHÂN GHÉP THẬN TỪ NGƯỜI CHO CHẾT NÃO GIAI ĐOẠN 2010 - 2024

Abstract

Objectives: To describe surgical complications following kidney transplantation and their corresponding management, classified according to the Clavien-Dindo scale. Methods: A retrospective, descriptive study was conducted on 213 kidney transplant cases between 2010 and 2024. Surgical complications and their management were recorded and classified according to the Clavien-Dindo system. All patients had complete medical records documenting surgical complications and treatment methods. Results: Surgical complications occurred in 27 out of 213 patients. Distribution by Clavien-Dindo grade was as follows: Grade II (2 cases), grade IIIa (9 cases), grade IIIb (15 cases), and grade V (1 case). There were no grade I, IVa, or IVb complications reported. Management primarily focused on vascular and urological complications, including ureteroneocystostomy reconstruction, ureteropyelostomy with the native ureter, and intraoperative management of arterial anastomotic stenosis using intraoperative flushing techniques. Postoperative and long-term graft function remained stable. Conclusion: Surgical complications after kidney transplantation were predominantly grade IIIa - IIIb, with most requiring invasive interventions. Early detection and timely management are crucial.