Evaluation of surgical complications incidence after radical cystectomy

Котов, С. В.; Хачатрян, А. Л.; Гуспанов, Р И; Пульбере, С. А.; Беломытцев, С В; Юсуфов, А. Г.; Котова, Д. П.

doi:10.17650/1726-9776-2018-14-4-95-102

Cited by 5 publications

(1 citation statement)

References 8 publications

(9 reference statements)

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“…В силу мультивисцеральности оперативного вмешательства РЦ чревата высокими показателями ранних послеоперационных осложнений, частота которых, по данным различных авторов, достигает 68 % [4]. Вероятность развития тяжелых осложнений, требующих выполнения малоинвазивных вмешательств под радиологическим, эндоскопическим контролем или хирургической операции, сопровождающихся дисфункцией органов или приводящих к смерти пациента, колеблется от 10 % [5] до 28 % [6].…”

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Early complications of radical cystectomy with various types of urine diversion: prognostic factors analysis

Musayev

2020

Onkourologiâ

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Objective: to analyze factors predicting complications in a series of radical cystectomies (RCs) performed for bladder cancer over a 10-year period at the National Center of Oncology (Baku).Materials and methods. From July 2008 to December 2017 we retrospectively selected 257 consecutive cases of RC with pelvic lymphadenectomy and various options of urine diversion for bladder malignant neoplasms. Information on preoperative prognostic factors, including demographic parameters, as well as general patient health parameters, tumor characteristics and factors concerning the operation was obtained from medical records. We analyzed perioperative factors using monovariant logistic regression, where the endpoints were development of any complication (I–V degrees according to Clavien–Dindo classification), as well as severe complication (III–V grades) within 30-days after RC were considered the endpoints. After the missing data on preoperative bacteriological urinalysis were multiply imputed, a multivariate logistic regression has been performed with odds ratio (OR) calculation.Results. During the 30-day period, complications were registered in 111 (43.2 %) patients, severe complications – in 48 (18.7 %). Multivariate analysis revealed the following independent predictors of any postoperative complications after RC: local cT4 tumor extension (OR 4.52; p = 0.002), age (OR 1.87; p = 0.017), positive bacteriological urine analysis (OR 2.16; p = 0.032) and number of performed RCs (OR 0.89; p = 0.038). Severe postoperative complications were associated with positive urine culture (OR 4.05; p = 0.002) and age (OR 2.44; p = 0.013).Conclusion. Our study revealed the following independent factors, which were significantly associated with the risk of any complication or severe complication after RC: local cT4 tumor extension, age, positive urine bacteriological analysis before the intervention and a small number of surgeries or positive urine culture and age, respectively.

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Section: Introductionunclassified

Early complications of radical cystectomy with various types of urine diversion: prognostic factors analysis

Musayev

2020

Onkourologiâ

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Patient survival after radical cystectomy

Ogorodnikova,

Mager,

Konstantinova

2023

Iv International Scientific Forum on Computer and Energy Sciences (Wfces Ii 2022)

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Comparative Evaluation of the Results of Radical Surgical Treatment of Patients with Muscle-Invasive Bladder Cancer

Startsev,

Sarychev,

Tyapkin

et al. 2024

Annals RAMS

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Malignant neoplasms of the bladder with invasion into the muscle layer of the organ wall (MIBC) are recognized as a highly aggressive pathology with a poorly predicted outcome, a high mortality rate, involving patients of any age without gender differences. Radical surgery’s in patients with MIBC has long and highly established itself as one of the main methods of treatment. However, the results of open surgical interventions are still accompanied by a high level of complications. The materials of medical literature (PubMed, CrossRef) for 2000–2023 were studied, with the issues of comparative evaluation of the results of surgical treatment of patients with MIBC, complications of the postoperative period. The search was conducted on the key phrases “bladder cancer”, “open cystectomy”, “robot-assisted cystectomy”, “cancer-specific survival”. The widespread introduction of video-endoscopic methods of treating patients with this disease into clinical practice has made it possible to speak about a decrease in the volume of intraoperative blood loss, the frequency of infectious complications of the wound and inpatient stay. The development of robot-assisted bladder surgery (RARC) demonstrates a number of advantages of using the daVinci robot in terms of reducing the number of postoperative complications during the traditional to study the 30–60–90-day follow-up periods. The issues of rehabilitation of patients after various methods of urine diversion, the medical-economic aspects for RARC in expert urological centers and the feasibility of the widespread introduction of this technique in medical institutions remain unclear. The coverage of these issues in the medical scientific literature is ambiguous, and therefore requires additional analysis.

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Evaluation of surgical complications incidence after radical cystectomy

Cited by 5 publications

References 8 publications

Early complications of radical cystectomy with various types of urine diversion: prognostic factors analysis

Early complications of radical cystectomy with various types of urine diversion: prognostic factors analysis

Patient survival after radical cystectomy

Comparative Evaluation of the Results of Radical Surgical Treatment of Patients with Muscle-Invasive Bladder Cancer

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