Development of a surgical safety checklist for the performance of radical nephrectomy and tumor thrombectomy

Patient Safety in Surgery

Gaetano Ciancio²  Rajinikanth Ayyathurai¹  Michael A Gorin⁴  Shivam Joshi³ 

[1] Jackson Memorial Hospital, Miami, FL, USA;Department of Surgery, Division of Transplantation, University of Miami Miller School of Medicine, Post Office Box 012440, Miami, FL, 33101, USA;Miami Transplant Institute, Miami, FL, USA;James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD, USA

关键词: Tumor thrombus;    Inferior vena cava;    Renal cell carcinoma;    Checklist;   

Others  :  790328
DOI  :  10.1186/1754-9493-6-27

 received in 2012-10-22, accepted in 2012-12-12,  发布年份 2012

【 摘 要 】

Background

The surgical management of renal cell carcinoma with invasion of the renal vein or inferior vena cava is associated with significant rates of perioperative morbidity and mortality. In this report we propose a surgical checklist aimed at reducing adverse events associated with the resection of these tumors.

Methods

This review describes the development of an evidence- and experience-based surgical checklist aimed at improving the perioperative safety of patients undergoing radical nephrectomy and tumor thrombectomy.

Results

Reducing the risk of complications during the surgical management of renal tumors with venous invasion begins with appropriate pre-operative imaging aimed at defining the cranial extent of the tumor thrombus, thus facilitating accurate preoperative planning. Other key elements of the checklist are aimed at ensuring clear and precise pre-, intra- and postoperative communication between members of the multidisciplinary-care team.

Conclusion

A standardized surgical checklist may help to increase the perioperative safety of patients undergoing radical nephrectomy and tumor thrombectomy. Future validation studies are required to determine the clinical feasibility and post-implementation safety profile of this new checklist.

【 授权许可】

   
2012 Joshi et al.; licensee BioMed Central Ltd.

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