Analysis of Perioperative Complications Following Radical Cystectomy – Our Experience in a South Indian Tertiary Urology Centre

ABSTRACT

Introduction: Bladder cancer is one of the common urologicalmalignancy. The aim of this study was to analyze perioperativecomplications and mortality in our institute following radicalcystectomy and urinary diversion.Material and methods: Thirty four patients presented withmuscle invasive bladder cancer for radical cystectomy tourology department between August 2009 and December2011 was included in the study.Results: Patients mean age was 56.9 Years. There was higherpercentage of Male patients compared to Female patientswith ratio of 4.61 and most of the patients had ASA score <=2.0. Mean operating time and length of hospital stay was 4.2hours and 10.2 days respectively. Perioperative complicationswas observed in 32.35% of patient cohort and perioperativemortality rate of 2.94%. The most frequent complicationswere ileus (6 patients) followed by wound infection / wounddehiscence (4 patients). No preoperative factors predictedcomplications were found except for age.Conclusion: In our study, age was the only preoperativefactors predicted complication and mortality rate. With properselection of patients, and preoperative evaluation, surgicaltechnique and better postoperative care, Radical cystectomywith urinary diversion can be safely done in selected patientswith acceptable morbidity and mortality.