Article: Radical Cystectomy after Previous Radiation or Pelvic Surgery: Is It Associated with Increased Morbidity?
The Israel Medical Association journal : IMAJ
2021 Volume 23, Issue 9, Page(s) 545–549
Abstract: Background: Radical cystectomy is a complicated surgery with significant risks. Complications of Clavien-Dindo grade 3-4 range from 25% to 40% while risk of mortality is 2%. Pelvic surgery or radiotherapy prior to radical cystectomy increases the ... ...
Abstract | Background: Radical cystectomy is a complicated surgery with significant risks. Complications of Clavien-Dindo grade 3-4 range from 25% to 40% while risk of mortality is 2%. Pelvic surgery or radiotherapy prior to radical cystectomy increases the challenges of this surgery. Objectives: To assess whether radical cystectomy performed in patients with prior history of pelvic surgery or radiation was associated with increased frequency of Clavien-Dindo grade 3 or higher complications compared to patients without prior pelvic intervention. Methods: We retrospectively evaluated all patients who underwent radical cystectomy at our center over a 7-year period. All patients with pelvic radiation or surgery prior to radical cystectomy comprised group 1, while group 2 included the remaining patients. Results: In our study, 65 patients required radical cystectomy at our institution during the study period. Group 1 was comprised of 17 patients and group 2 included 48 patients. Four patients from group 2 received orthotopic neobladder, while an ileal conduit procedure was performed in the remaining patients. Estimated blood loss and the amount of blood transfusions given was the only variable found to be statistically different between the two groups. One patient from group 1 had four pelvic interventions prior to surgery, and her cystectomy was aborted. Conclusions: Radical cystectomy may be safely performed in patients with a history of pelvic radiotherapy or surgery, with complication rates similar to those of non-irradiated or operated pelvises. |
---|---|
MeSH term(s) | Aged ; Aged, 80 and over ; Blood Loss, Surgical/statistics & numerical data ; Blood Transfusion/statistics & numerical data ; Cystectomy/adverse effects ; Cystectomy/methods ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Retrospective Studies ; Surgically-Created Structures ; Urinary Bladder/surgery ; Urinary Bladder Neoplasms/radiotherapy ; Urinary Bladder Neoplasms/surgery ; Urinary Diversion/methods |
Language | English |
Publishing date | 2021-09-02 |
Publishing country | Israel |
Document type | Comparative Study ; Journal Article |
ZDB-ID | 2008291-5 |
ISSN | 1565-1088 ; 0021-2180 |
ISSN | 1565-1088 ; 0021-2180 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 5470: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.