Table 2.
Grade I complications | Grade II complications |
Electrolyte disturbance | Blood transfusion |
Fever (≥38°C) | Ileus requiring NG tube ± TPN + nausea/vomiting |
IV complication (infiltration) | Infection/bacteremia treated with Abx ± fever |
Nausea/vomiting | Infection/pyelonephritis treated with Abx ± fever |
Neuropraxia (positioning complication) | Infection/superficial wound treated with bedside drainage, Abx ± fever |
trAnsient elevation in serum creatinine | Infection/UTI treated with Abx ± fever |
Wound dehiscence | Infection/GI infection with Abx ± fever ± diarrhea |
incisional seroma | Urinary retention requiring catheterization or indwelling urinary catheter |
Other grade I | Venous thromboembolism |
Grade III complications | Lymphocele or chylous ascites treated conservatively with diet changes |
Abdominal abscess requiring IR/OR drainage, Abx | Other grade II |
Bowel leak treated surgically in OR | Grade IV complications |
Catheter malfunction/loss requiring placement in OR | Respiratory failure requiring ventilation, ICU |
Fascial dehiscence/evisceration treated in OR | Renal failure, ICU |
Hemorrhage requiring embolization or OR | Multiorgan failure, ICU |
Small bowel obstruction treated surgically in OR | Sepsis, septic shock, ICU |
Bile or pancreatic leak requiring IR or OR drainage | Other grade IV |
Urinoma requiring IR/OR drainage | |
Ureteral obstruction requiring intervention | Grade V complications |
Lymphocele or chyle leak requiring IR or OR intervention | Death |
TPN, total parenteral nutrition; NG, nasogastric; abx, antibiotic; UTI, urinary tract infection; IR, interventional radiology; OR, operating room; ICU, intensive care unit.