Your browser doesn't support javascript.
loading
Early complications after robot-assisted laparoscopic radical cystectomy and their risk factors / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences) ; (12): 1003-1008, 2019.
Artículo en Chino | WPRIM | ID: wpr-813057
ABSTRACT
To identify risk factors for early complications in patients after robot-assisted laparoscopic radical cystectomy (RARC) and a standardized reporting model to predict complications precisely and recommend reasonable prophylaxis.


Methods:

A total of 90 patients with bladder cancer, who underwent RARC in the Second Xiangya Hospital and the Third Xiangya Hospital of Central South University from January 2016 to January 2018, were enrolled for this study. Their clinical information, preoperative examination and follow-up data within 90 d after RARC were collected. Univariable and multivariable logistic regressions were performed to identify risk factors for early complications after RARC.


Results:

The overall incidence of complications within 90 d after RARC was 48.9% (44/90), including 9 cases of Clavien grade 1, 17 cases of Clavien grade 2, 4 cases of Clavien grade 3, 12 cases of Clavien grade 4, and 2 cases of Clavien grade 5. Acute renal injury (22.2%), intestinal obstruction (16.7%), urinary tract infection (14.4%) and lymphatic leakage (10.0%) were the most common complications within 90 d after the operation. Two patients (2.2%) died within 90 d after the operation. Preoperative BMI (OR=1.16, 95% CI 1.02 to 1.32), postoperative instant (≤30 min) serum creatinine (OR=1.02, 95% CI 1.00 to 1.03), and pT stage (OR=1.67, 95% CI 1.05 to 2.68) were the risk factors for early complications after RARC. 


Conclusion:

The incidence of early complications after RARC is high. Preoperative hemodialysis, correction of anemia, intraoperative protection of renal function, and early recovery after surgery are helpful to prevent early complications after RARC.
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Cirugía General / Neoplasias de la Vejiga Urinaria / Robótica / Cistectomía / Factores de Riesgo / Resultado del Tratamiento / Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Chino Revista: Journal of Central South University(Medical Sciences) Año: 2019 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Complicaciones Posoperatorias / Cirugía General / Neoplasias de la Vejiga Urinaria / Robótica / Cistectomía / Factores de Riesgo / Resultado del Tratamiento / Laparoscopía / Procedimientos Quirúrgicos Robotizados Tipo de estudio: Estudio de etiología / Estudio pronóstico / Factores de riesgo Límite: Humanos Idioma: Chino Revista: Journal of Central South University(Medical Sciences) Año: 2019 Tipo del documento: Artículo