Analysis of Early Complications After Radical Cystectomy: Results of a Collaborative Care Pathway

Chang, Sam S.; Cookson, Michael S.; Baumgartner, Roxelyn G.; Wells, Nancy; Smith, Joseph A.

doi:10.1016/s0022-5347(05)65074-4

Cited by 316 publications

(176 citation statements)

References 9 publications

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“…This indicates that the development of ileus may be an early predictor for the development of significant postoperative complications as reported by Chang et al [20]. Compared to other series, we report a higher rate of ileus [18,21] [22].…”

Section: Discussionsupporting

confidence: 77%

In-depth Critical Analysis of Complications Following Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion

Tan

Lamb

Tan

et al. 2017

European Urology Focus

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In-depth critical analysis of complications following robot-assisted radical cystectomy with intracorporeal urinary diversion. European Urology Focus, (doi:10.1016Focus, (doi:10. /j.euf.2016 This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/145598/ RESULTS AND LIMITATIONSThe 90-day all complication rate following ileal conduit and continent diversion was 68% and 82.4% while major complications were 21.0% and 20.6% respectively. 90-day mortality was 3% and 2.9% for ileal conduit and continent diversion patients respectively. On multivariate analysis, blood transfusion requirement was independently associated with major (p=0.002) and all 30-day (p=0.002) and 90-day major complications (p=0.012) while male patients were associated with 90-day major complications (p=0.015). Critical analysis identified surgical complications was responsible for 39.4% of all 90-day major complications. PATIENT SUMMARYIn this report, we looked at the surgical outcomes in bladder cancer patients treated with minimal invasive robotic surgery. We found that surgical complications account for most major complications and previous surgical experience may be a confounding factor when interpreting results from different center even in a randomised trial setting.

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Section: Discussionsupporting

confidence: 77%

In-depth Critical Analysis of Complications Following Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion

Tan

Lamb

Tan

et al. 2017

European Urology Focus

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“…The University of Southern California (USC) series of 633 patients with pT2-T4a reported 5 and 10 years overall survival of 48% and 32%.¹ The Memorial Sloan Kettering Cancer Center (MSKCC) series of 184 patients with pT2-4 reported overall 5-year survival rates of 36%.² While the operative and perioperative care has improved, operative mortality in modern series ranges from 1% to 2% and postoperative complications range from 15% to 32%. 3,4 Studies confirm that the most serious side effects are urinary diversion and loss of sexual function in men and women; these effects also have a significant impact on QOL. Continent urinary procedures achieve 82% continence rates, yet complications require reoperation in 10% to 15% of these patients.…”

Section: Results Of Cystectomymentioning

confidence: 99%

In favour of bladder preservation using combined modality treatment

Lukka

2013

CUAJ

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“…However, the rate of complications after cystectomy is significantly higher. Although the rate of minor complications is <31%, that of major complications requiring admission in a surgical intensive care unit is 4.9% [17]. Moreover, late sequelae such as erectile dysfunction and urinary incontinence are common and of concern.…”

confidence: 99%

T1G3 transitional cell carcinoma of the bladder: recurrence, progression and survival

Peyromaure

Zerbib

2003

BJU International

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age. Patients treated with BCG had systematic biopsies taken at the end of the first course. Patients with residual tumour received a second course of six weekly instillations. Patients with negative biopsies received maintenance BCG therapy consisting of intravesical instillations each week for 3 weeks given 3, 6, 12, 18, 24, 30 and 36 months after the first course. RESULTSThe median follow-up was 53 months. The overall recurrence rate was 46% and the overall progression rate 19%. The rate of delayed cystectomy was 8% and that of disease-specific survival 91%. In patients who received BCG therapy, the recurrence and progression rates were 42% and 23%, respectively. In this group the rate of diseasespecific survival was 88%. CONCLUSIONThis study confirms that maintenance BCG therapy is an effective treatment for T1G3 bladder tumours, with an acceptable rate of bladder preservation.

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Analysis of Early Complications After Radical Cystectomy: Results of a Collaborative Care Pathway

Cited by 316 publications

References 9 publications

In-depth Critical Analysis of Complications Following Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion

In-depth Critical Analysis of Complications Following Robot-assisted Radical Cystectomy with Intracorporeal Urinary Diversion

In favour of bladder preservation using combined modality treatment

T1G3 transitional cell carcinoma of the bladder: recurrence, progression and survival

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