�UroToday.com - This article, recently published in the online publication of European Urology, highly-developed standard reporting methodology to define the type, incidence, and severity of early postoperative morbidities following radical cystectomy.
Between 1995 and 2005, 1142 consecutive radical cystectomy patients were entered into a prospective complication database and retrospectively reviewed for accuracy. All patients underwent RC/urinary diversion by high-volume fellowship-trained urologic oncologists. Complications were measured within the first 90 days of operation Complications were defined and stratified into 11 specific categories. Using these categories, 64% of patients experienced a complication. Among patients experiencing a complication, 67% experienced a complication during the surgical hospital entrance money and 58% following expel. Eighty-seven pct of complications were tier 1 or 2 and did non require surgical intervention. Gastrointestinal complications were most common (29%), followed by infectious complications (25%) and wound-related complications (15%). The 30-day mortality rate was 1.5%.
These authors hold helped define a consistent complication marking system that will allow comparison across institutions. Surgical morbidity following radical cystectomy is significant and, when strict coverage guidelines ar incorporated, higher than antecedently published. Accurate reporting of postoperative complications after RC is substantive for guidance patients, combined modality intervention planning, clinical trial excogitation, and judgment of surgical success.
Shabsigh A, Kurtas R, Vora KC, Brook CM, Cronin AM, Savage C, Raj G, Bochner BH, Dalbagni G, Herr HW, Donat SM
Eur Urol. 2008 Jul 18. Epub ahead of print.
Reported by UroToday.com Contributing Editor David P. Wood, MD
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