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Monday, September 28, 2020

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_ Crimson Publishers

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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