Abstract
| Original language | English |
|---|---|
| Journal | European Urology Focus |
| DOIs | |
| Publication status | Published - 2026 |
Keywords
- Complication reporting
- Multicentre collaboration
- Nephrectomy
- Nephroureterectomy
- Radical cystectomy
- Radical prostatectomy
- Retroperitoneal lymph node dissection
- Urinary diversion
- Urologic surgery
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In: European Urology Focus, 2026.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - International Multicentre Analysis of Perioperative Complications Following Major Urologic Oncologic Surgery: Early Results from More than 130 000 Procedures from the CAMUS Collaborative
AU - Soliman, Christopher
AU - Sathianathen, Niranjan
AU - Corcoran, Niall M.
AU - Wuethrich, Patrick Y.
AU - Furrer, Marc A.
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AU - Ghanem, Yasmin Abu
AU - Adamou, Constantinos
AU - Al-Bermani, Osama
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AU - Aning, Jonathan
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AU - Burger, Maximilian
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AU - Cancel-Tassin, Geraldine
AU - Canda, Abdullah Erdem
AU - Castellani, Daniele
AU - Cathelineau, Xavier
AU - Catto, James
AU - Caviglia, Alberto
AU - Challacombe, Benjamin
AU - Chan, Kimberely
AU - Chaudhary, Kapil
AU - Che, Yue
AU - Cheaib, Joseph G.
AU - Checcucci, Enrico
AU - Chen, Kenneth
AU - Chibuzo, Ijeoma
AU - Chung, Paul H.
AU - Claps, Francesco
AU - Comploj, Evi
AU - Conroy, Samantha
AU - Contieri, Roberto
AU - Corcoran, Niall
AU - Coughlin, Geoff
AU - Cumberbatch, Marcus
AU - Cussenot, Olivier
AU - D'Andrea, David
AU - Dahlin, Britt-Inger
AU - Groote, Ruben De
AU - Naeyer, Geert De
AU - Nunzio, Cosimo De
AU - Decaestecker, Karel
AU - Dekuyper, Peter
AU - Dell'Oglio, Paolo
AU - Desai, Mihir
AU - Díaz-Méndez, Jorge
AU - Dinney, Colin P. N.
AU - Dodds, Lachlan
AU - Donnellan, Scott
AU - Draeger, Desiree Louise
AU - du Plessis, Danelo Estienne
AU - Dundee, Philip
AU - Eddy, Benjamin
AU - Eden, Christopher
AU - Einerhand, Sarah
AU - Elterman, Dean
AU - Engelmann, Simon Udo
AU - Enzmann, Thomas
AU - Esperto, Francesco
AU - Everaerts, Wouter
AU - Ezzat, Osama
AU - Tabrizi, Pouriya Faraj
AU - Ficarra, Vincenzo
AU - Fleshner, Neil
AU - Fradet, Yves
AU - Franck, Bruyere
AU - Franko, Martin
AU - Frydenberg, Mark
AU - Furrer, Marc Alain
AU - Galfano, Antonio
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AU - Gill, Inderbir
AU - Glina, Sidney
AU - Goad, Jeremy
AU - Gómez, Fernando
AU - Graafland, N.
AU - Graefen, Markus
AU - Gratton, Matthieu
AU - Gratzke, Christian
AU - Greco, Isabella
AU - Siemer, Robert große
AU - Guaglianone, Salvatore
AU - Guercio, Alessandro
AU - Cascales, Ana Guijarro
AU - Guillonneau, Bertrand
AU - Guruli, Georgi
AU - Hadaschik, Boris
AU - Hagens, M. J.
AU - Hakenberg, Oliver
AU - Hamid, Agus Rizal
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AU - Häuser, Lorine
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AU - Heidnreich, Axel
AU - Hendricksen, Kees
AU - Hermanns, Thomas
AU - Cañas, Virginia Hernández
AU - Hintermeier, Stephan
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AU - Hora, Milan
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AU - Hughes, Isabel
AU - Huybrechts, Stefan
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AU - Jaeger, Wolfgang
AU - Jagtap, Jitendra
AU - Jeldres, Claudio
AU - Jenjitranant, Pocharapong
AU - Jiménez-Alcaide, Estíbaliz
AU - Jochen, Walz
AU - Putra, Lydia Johns
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AU - Kafka, Mona
AU - Kalapara, Arveen
AU - Kälble, Sebastian
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AU - Khan, Mohamed Shamim
AU - Klemm, Jakob
AU - Knoll, Thomas
AU - Koelker, Mara
AU - Kondisetty, Sandeep
AU - Konety, Badrinath
AU - Korkes, Fernando
AU - Korstanje, Jan-Wiebe
AU - Köseoğlu, Ersin
AU - Koupparis, Anthony
AU - Kovacik, Viktor
AU - Kowalewski, Karl-Friedrich
AU - Kretschmer, Alexander
AU - Kriegmair, Maximilian C.
AU - Kukarni, Jagdeesh N
AU - Kulkarni, Girish
AU - Kutukoglu, Umut
AU - Kyei, Mathew Yamoah
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AU - Ladurner, Michael
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AU - Langendries, Laura
AU - Larner, Tim
AU - Lawrentschuk, Nathan
AU - Laymon, Mahmoud
AU - Lee, Hsiang Ying
AU - Lee, Byron
AU - Leonardo, Costantino
AU - Leow, Jeffrey
AU - Leslie, Tom
AU - Liatsikos, Evangelos
AU - Licari, Leslie Claire
AU - Lievore, Elena
AU - Liguori, Giovanni
AU - Ljungberg, Borje
AU - Abarca, Carlos Llorente
AU - Lopez, Francisco
AU - Löppenberg, Björn
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AU - Lucca, Ilaria
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AU - Maillard, Julien
AU - Mally, David
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AU - Markowski, Bartlomiej
AU - Martin, George
AU - Master, Viraj A
AU - Mastroianni, Riccardo
AU - Mayr, Roman
AU - McCombie, Steve
AU - McPhee, Arthur
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AU - Meijer, R. P.
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AU - Menold, Hanna Saskia
AU - Merrilees, David
AU - Meyer, Luca-Marie
AU - Midenberg, Eric R
AU - Mir, Maria Carmen
AU - Miranda, Gus
AU - Moon, Daniel
AU - Mosbah, Ahmed
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AU - Notarfrancesco, Marco
AU - Novotny, Vladimir
AU - O'Neill, Sarah
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AU - Orye, Christophe
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AU - Palermo, Salvatore M
AU - PALUMBO, CARLOTTA
AU - Papalia, Rocco
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AU - Porpiglia, Francesco
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AU - Proietti, Flavia
AU - Pycha, Armin
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AU - Raunecker, Benjamin
AU - Rausch, Steffen
AU - Recabal-Guiraldes, Pedro
AU - Ribal, Maria J
AU - Richard, Patrick O
AU - Rifa, Lorena
AU - Ringia, J. B.
AU - Ristau, Benjamin T.
AU - Rizzo, Michele
AU - Rodriguez-Sanchez, Lara
AU - Rodríguez-Socarrás, Moises Elias
AU - Roghmann, Florian
AU - Rossanese, Marta
AU - Roth, Beat
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AU - Rowe, Edward
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AU - Saikali, Shady
AU - Salas, Rafael Sanchez
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AU - Schulz, Gerald
AU - Schwentner, Christian
AU - Scuderi, Simone
AU - Sebastian, Benjamin
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AU - Praet, Charles Van
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AU - Vedovo, Francesca
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AU - Vermeulen, Lodewikus P.
AU - Vetterlein, Malte W.
AU - Veys, Ralf
AU - Vidal-Faune, Alvaro
AU - Viganò, Silvia
AU - Vlaming, Michiel
AU - VOLPE, Alessandro
AU - von Deimling, Markus
AU - Rundstedt, Friedrich Von
AU - Voskuilen, C. S.
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AU - Weprin, Samuel
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AU - Woldu, Solomon
AU - Wong, Chris Ho-Ming
AU - Wu, Fiona
AU - Wu, Wen-Jeng
AU - Xylinas, Evanguelos
AU - Yaxley, John
AU - Yeh, Hsin-Chih
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AU - Zemlickova, Barbora
AU - Zemp, Logan
AU - Zennami, Kenji
AU - Zhang, Yuhao
PY - 2026
Y1 - 2026
N2 - Background and objective: Perioperative and postoperative complications after major urologic oncologic surgeries are common and clinically significant. Standardised complication grading and reporting are critical for benchmarking, quality improvement, and patient counselling. Our aim was to provide a comprehensive global assessment of complications following radical cystectomy (RC), radical and partial nephrectomy (RN and PN), radical prostatectomy (RP), radical nephroureterectomy (RNU), and retroperitoneal lymph node dissection (RPLND). Methods: This international, multicentre observational study included 130 034 procedures (29 098 RC, 75 001 RP, 24 476 major kidney surgery, 1459 RPLND) from 180 centres in 33 countries worldwide. Complications were graded using the Clavien-Dindo classification and quantified via the Comprehensive Complication Index, with descriptive analysis of complications at 30 d and 90 d. Key findings and limitations: Complication rates varied by procedure. RC had the highest morbidity, with 30-d grade I–II complication in 40% and grade III–V in 16%, and a 90-d mortality rate of 2.3%. RP had low complication rates (grade I–II: 10–15%; grade III–V: 5–8%; mortality <0.05%), although extended pelvic lymph node dissection increased the incidence of high-grade events to 10%. Morbidity and mortality were generally low after PN; 90-d mortality was higher with open RN, reaching 1.7%. RNU and RPLND had moderate rates of major complications (up to 14%) and low mortality (<1%). Retrospective data collection, potential heterogeneous reporting of complications between centres, and incomplete follow-up in some cases may affect the generalisability of the results. Conclusions and clinical implications: This standardised global data set is the largest assessment of perioperative morbidity across urologic oncologic procedures to date, and provides important real-world evidence. RC remains the most morbid procedure, while RP had markedly lower complication rates. Standardised reporting and international benchmarking are essential to improve surgical safety and guide quality improvement worldwide.
AB - Background and objective: Perioperative and postoperative complications after major urologic oncologic surgeries are common and clinically significant. Standardised complication grading and reporting are critical for benchmarking, quality improvement, and patient counselling. Our aim was to provide a comprehensive global assessment of complications following radical cystectomy (RC), radical and partial nephrectomy (RN and PN), radical prostatectomy (RP), radical nephroureterectomy (RNU), and retroperitoneal lymph node dissection (RPLND). Methods: This international, multicentre observational study included 130 034 procedures (29 098 RC, 75 001 RP, 24 476 major kidney surgery, 1459 RPLND) from 180 centres in 33 countries worldwide. Complications were graded using the Clavien-Dindo classification and quantified via the Comprehensive Complication Index, with descriptive analysis of complications at 30 d and 90 d. Key findings and limitations: Complication rates varied by procedure. RC had the highest morbidity, with 30-d grade I–II complication in 40% and grade III–V in 16%, and a 90-d mortality rate of 2.3%. RP had low complication rates (grade I–II: 10–15%; grade III–V: 5–8%; mortality <0.05%), although extended pelvic lymph node dissection increased the incidence of high-grade events to 10%. Morbidity and mortality were generally low after PN; 90-d mortality was higher with open RN, reaching 1.7%. RNU and RPLND had moderate rates of major complications (up to 14%) and low mortality (<1%). Retrospective data collection, potential heterogeneous reporting of complications between centres, and incomplete follow-up in some cases may affect the generalisability of the results. Conclusions and clinical implications: This standardised global data set is the largest assessment of perioperative morbidity across urologic oncologic procedures to date, and provides important real-world evidence. RC remains the most morbid procedure, while RP had markedly lower complication rates. Standardised reporting and international benchmarking are essential to improve surgical safety and guide quality improvement worldwide.
KW - Complication reporting
KW - Multicentre collaboration
KW - Nephrectomy
KW - Nephroureterectomy
KW - Radical cystectomy
KW - Radical prostatectomy
KW - Retroperitoneal lymph node dissection
KW - Urinary diversion
KW - Urologic surgery
KW - Complication reporting
KW - Multicentre collaboration
KW - Nephrectomy
KW - Nephroureterectomy
KW - Radical cystectomy
KW - Radical prostatectomy
KW - Retroperitoneal lymph node dissection
KW - Urinary diversion
KW - Urologic surgery
UR - https://iris.uniupo.it/handle/11579/232744
U2 - 10.1016/j.euf.2026.01.011
DO - 10.1016/j.euf.2026.01.011
M3 - Article
SN - 2405-4569
JO - European Urology Focus
JF - European Urology Focus
ER -