Post-Operative Complications in Radical Cystectomy: Can the Kind of Urinary Diversion, The Performance Status, Presence of Preoperative Hydronephrosis or Tumor Extension Predict the Likelihood of Post-Operative Complications? By Fiorello N* in Gerontology & Geriatrics Studies_ International Journal of Gerontology
Introduction
Radical cystectomy (RC) is recommended for T2-4
N0 M0 bladder cancer and
high-risk non-muscle invasive bladder cancer [1]. Before planning the surgery
it’s extremely important to select the patients to choose the urinary
diversion, to evaluate the performance status with a standardized score and any
specialist assessments if there are serious comorbidities [2]. Despite
improvements in the surgical technique and in the approach, the procedure
remains associated with significant postoperative morbidity with high rates of
complications [3] Standard RC consists of the removal of the bladder, prostate,
seminal vesicles, distal ureters, and regional lymph nodes in men, and the
bladder, urethra, adjacent vagina, uterus,
distal ureters, and regional lymph nodes in women [4]. In our study we examined
post-operative complications, classified with Clavien-Dindo score, and we
looked for possible correlations between type of urinary derivation,
preoperative hydronephrosis (related to the disease or to a previous
Transurethral Resection of Bladder [TURB]), performance status and tumor extension.
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