A Study on Perioperative Complications Following Radical Cystectomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Introduction : Radical cystectomy with lymphadenectomy is the gold standard treatment for nonmetastatic, muscle invasive or high risk, nonmuscle invasive Transitional cell carcinoma. Radical cystectomy entails simultaneous surgery on the urinary tract, intestines, and lymph nodes; hence, complications frequently occur after this extensive procedure. Materials & methods : A standard surgical procedure was performed in all patients, including meticulous iliopelvic lymphadenectomy with en bloc RC. All complications within 30 days of surgery were graded according to an established 5-grade Clavien Dindo system. Results : During the study period between May 2015 to April 2017 we analyzed complications following Radical Cystectomy for 30 patients with Bladder cancer. Clavien Dindo grade 0-2 complications occurred in 25 patients (83%) , Grade 3 in 4 patients (13.3%) and grade 5 in 1 patient (3.3%). Conclusion : Improvements in surgical, anaesthetic technique and increased quality of perioperative care in recent years resulted in reduced morbidity and short hospital stay.
Authors and Affiliations
Dr. J. Jayaraju, Dr. M. Muni Prasad 2 ,
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