Publication: Perioperative Complications and Mortality Following Radical Cystectomy and Urinary Diversion in Bladder Cancer in Ramathibodi Hospital
Issued Date
2014
Resource Type
Language
eng
ISSN
0125-3611 (Print)
2651-0561 (Online)
2651-0561 (Online)
Rights
Mahidol University
Rights Holder(s)
Department of Surgery Faculty of Medicine Ramathibodi Hospital Mahidol University
Bibliographic Citation
Ramathibodi Medical Journal. Vol. 37, No. 3 (Jul-Sep 2014), 126-131
Suggested Citation
Pennapa Leelapatree, Pokket Sirisreetreerux, Wachira Kochakarn, Charoen Leenanuphanth, Wisoot Kongcharoensombat, Kittinut Kijvikai, Wit Viseshsindh, เพ็ญนภา ลีลาภัทรี, ปกเกศ ศิริศรีตรีรักษ์, วชิร คชการ, เจริญ ลีนานุพันธุ์, วิสูตร คงเจริญสมบัติ, กิตติณัฐ กิจวิกัย, วิทย์ วิเศษสินธุ์ Perioperative Complications and Mortality Following Radical Cystectomy and Urinary Diversion in Bladder Cancer in Ramathibodi Hospital. Ramathibodi Medical Journal. Vol. 37, No. 3 (Jul-Sep 2014), 126-131. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/79680
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Title
Perioperative Complications and Mortality Following Radical Cystectomy and Urinary Diversion in Bladder Cancer in Ramathibodi Hospital
Other Contributor(s)
Abstract
Objective: To review the complications of mortality rate after radical cystectomy in Ramathibodi Hospital and analysis for the possible contributing factors to the outcome after the procedure.
Methods: All patients who underwent radical cystectomy with urinary diversion between January 2005 to December 2011 were retrospectively reviewed. Preoperative patient characteristics and preoperative data were recorded. Perioperative morbidity and mortality within 90 days after surgery were analyzed for the possible contributing factors with univariate and multivariate analysis.
Results: Of all 106 patients, 90 men and 16 women, with mean age of 65.6 year (33 - 88 years). Postoperative complications within 90 days were observed in 38 (35.5%) of the patients, the most common complication being sepsis 17 (16.0%) cases, followed by wound infection/dehiscence 12 (11.3%) cases and urine leak/collection 6 (5.6%) cases. The 90-d mortality rate was 8.4%. Age was the only factor that significantly affected perioperative and mortality.
Conclusions: Although age more than 70 years significantly affected perioperative morbidity and mortality, properly selected elderly patients who were reasonably in good health were found to be safe for radical cystectomy with urinary diversion for treatment of invasive bladder carcinoma patients.