Thirty-day complications of radical cystectomy and factors that influence their development
| Autor: | V. A. Atduev, V. E. Gasrataliev, D. S. Ledyaev, Z. V. Amoev, A. A. Danilov, Kh. M. Mamedov, Z. K. Kushаev, Yu. O. Lyubarskaya |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment complication Abdominal cavity Overweight Gastroenterology Cystectomy Blood loss Internal medicine medicine Radiology Nuclear Medicine and imaging Preoperative anemia radical cystectomy Bladder cancer business.industry medicine.disease medicine.anatomical_structure Oncology Nephrology bladder cancer Medicine Surgery medicine.symptom Complication business Body mass index |
| Zdroj: | Onkourologiâ, Vol 13, Iss 3, Pp 95-102 (2017) |
| ISSN: | 1996-1812 1726-9776 |
| Popis: | Objective : to identify the most important factors influencing the development of complications after radical cystectomy (RCE). Materials and methods . The results of 182 RCEs performed in September 2014 and December 2016 were analyzed. The patients included 152 (83.5 %) men and 30 (16.5 %) women. The patients’ age ranged from 31 to 84 years (mean age 62.3 years). An orthotopic urinary reservoir was formed in 138 (75.8 %) patients. Postoperative complications were evaluated according to the Clavien–Dindo classification. The calculations were made with a computer program for SPSS Statistics 16. Results. No complications were recorded in 84 (46.2 %) patients within 30 days after RCE. The development of various postoperative adverse reactions was observed in 98 (53.8 %) patients. The most common complications were gastrointestinal (26.9 %) and infectious (25.8 %). Sixteen (8.8 %) patients developed grade I complications; grades II, III, IV, and V complications were seen in 53 (29.1 %), 21 (11.5 %), 5 (2.7 %), in 3 patients, respectively. Thirty-day mortality was 1.64 %. Univariate regression analysis has established that overweight (p = 0.031), T status (p = 0.021), preoperative hemoglobin levels (p = 0.001), intraoperative blood loss (p = 0.009), and intraoperative abdominal cavity infection (p |
| Databáze: | OpenAIRE |
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