COMPARISON OF EXTRAPERITONEAL AND TRANSPERITONEAL RADICAL CYSTOPROSTATECTOMY IN TERMS OF FIRST 30 DAYS OUTCOMES
| Autor: | Sohail Razzaq, Muhammad Nawaz, Faran Kiani, Bilal Habib, Mudassar Sajjad, Haroon Sabir, Qamar Zia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Blood transfusion medicine.medical_treatment Ureterostomy Cystectomy cystectomy R5-920 Intensive care medicine ileal conduits bladder Chemotherapy Radical cystoprostatectomy Wound dehiscence business.industry ureterostomy Urinary diversion medicine.disease Surgery urinary diversion cysto-prostatectomy bladder neoplasm Medicine business |
| Zdroj: | Pakistan Armed Forces Medical Journal, Vol 71, Iss 4, Pp 1282-87 (2021) |
| ISSN: | 2411-8842 0030-9648 |
| Popis: | Objective: To compare the first 30-day outcomes of Trans-peritoneal and Extra-peritoneal Radical cysto-prostatectomy. Study Design: Quasi-experimental study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Mar 2015 to Mar 2019.Methodology: A total of 100 patients who underwent Radical cystoprostatectomy were observed in two groups either by extra or trans-peritoneal approach. Patients diagnosed with carcinoma urinary bladder (both muscle and non-muscle invasive) vetted through multidisciplinary meeting, with or without neo-adjuvant chemotherapy were included. Patients undergoing salvage cystectomy or any previous open abdomino-pelvic surgery were excluded. The standard techniques were used for both approaches. Variables under study were recorded for first 30-day-followup period. Results: The mean age was 59.9 ± 7.231 years (range=34-80). In extra-peritoneal group the mean duration of surgery was 5.6 ± 1.16 hours comparing to 7.2 ± 1.34 hours in the trans-peritoneal group. Statistically significant trend was also noted in the favour of extra-peritoneal group for stay in Intensive care in post-operative period (3.00 ± 1.19 days/4.77 ± 1.20, p |
| Databáze: | OpenAIRE |
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