Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2022 Dec;17(4):939-947.
doi: 10.26574/maedica.2022.17.4.939.

Natural Ending or Surgical Complication: Is It the Time to Reconsider the Clavien-Dindo Classification System?

Christos Damaskos  1   2 , Nikolaos Garmpis  2   3 , Iason Psilopatis  4 , Dimitrios Dimitroulis  3
Affiliations
Editorial

Natural Ending or Surgical Complication: Is It the Time to Reconsider the Clavien-Dindo Classification System?

Christos Damaskos et al. Maedica (Bucur). 2022 Dec.

Abstract

To date, the Clavien-Dindo classification system represents the most popular assessment tool of postoperative events that ranks surgical complications by the extent of respective required therapeutic interventions. This uniform grading system allows for an objective evaluation of outcomes from a surgical procedure by accurately and standardly defining surgical complications. However, many scientists have meanwhile heavily criticized the Clavien-Dindo classification system as an overly generalized and conservative grading system that requires modification. Herein, we aim to explain the need for reconsideration of the Clavien-Dindo classification system, and discuss the features of an ideal system for the classification of complications that should evaluate not only surgical complications, but also the risk and patient's general performance status.

PubMed Disclaimer

Figures

TABLE 1.
TABLE 1.
Clavien-Dindo classification system for postoperative complications
TABLE 2.
TABLE 2.
Modifications of the Clavien-Dindo classification system
TABLE 2.
TABLE 2.
Modifications of the Clavien-Dindo classification system
TABLE 2.
TABLE 2.
Modifications of the Clavien-Dindo classification system
TABLE 2.
TABLE 2.
Modifications of the Clavien-Dindo classification system
TABLE 2.
TABLE 2.
Modifications of the Clavien-Dindo classification system
See this image and copyright information in PMC

References

    1. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–213. - PMC - PubMed
    1. Elkoushy MA, Luz MA, Benidir T, et al. Clavien classification in urology: Is there concordance among post-graduate trainees and attending urologists? Can Urol Assoc J. 2013;7:179–184. - PMC - PubMed
    1. Sinha R, Jalote I, Sinha M, et al. Surgical complications in 448 gynecological 3D laparoscopic surgeries adopting the Clavien—Dindo classification. Gynecol Surg. 2016;13:333–338.
    1. Miyamoto S, Nakao J, Higashino T, et al. Clavien-Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer. PLoS One. 2019;14:e0222570. - PMC - PubMed
    1. Waldbillig F, Nientiedt M, Kowalewski KF, et al. The comprehensive complication index for advanced monitoring of complications following endoscopic surgery of the lower urinary Tract. J Endourol. 2021;35:490–496. - PubMed

Publication types

LinkOut - more resources