Ileus and small bowel obstruction after radical cystectomy for bladder cancer: Analysis from the Nationwide Inpatient Sample

Nutt, Max; Scaief, Steve; Dynda, Danuta; Alanee, Shaheen

doi:10.1016/j.suronc.2018.05.019

Cited by 13 publications

(6 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Time to regular oral diet and length of hospital stay were significantly shorter for LRC compared with the ORC group, which was consistent with many reports [ 7 , 8 , 16 ]. Open radical cystectomy involves packing of the intestine which potentially exposes them to mechanical trauma for the whole duration of the procedure [ 17 ]; this may translate into ileus which is reported in 26% of patients in literature [ 16 ].…”

Section: Discussionsupporting

confidence: 92%

“…Stay. Time to regular oral diet and length of hospital stay were significantly shorter for LRC compared with the ORC group, which was consistent with many reports [7,8,16]. Open radical cystectomy involves packing of the intestine which 6…”

Section: Start Of Oral Solids and Length Of Hospitalsupporting

confidence: 89%

“…Most studies reported similar or higher nodal yields with ORC. The CORAL trial showed that lymph node yield was higher with ORC when compared to LRC (18.8 vs. 15.5) [ 16 ]. We did not attempt extended lymph node dissection in any case in the ORC group.…”

Section: Discussionmentioning

confidence: 99%

“…Advances in Urology potentially exposes them to mechanical trauma for the whole duration of the procedure [17]; this may translate into ileus which is reported in 26% of patients in literature [16].…”

Section: Start Of Oral Solids and Length Of Hospitalmentioning

confidence: 99%

See 3 more Smart Citations

Randomized Controlled Trial of Laparoscopic versus Open Radical Cystectomy in a Laparoscopic Naïve Center

Fadlalla

Hanafy

Abdelhakim

et al. 2021

Advances in Urology

View full text Add to dashboard Cite

Background. Laparoscopic radical cystectomy is a challenging surgical procedure; however, it has been largely abandoned in favor of the more intuitive robotic-assisted cystectomy. Due to the prohibitive cost of robotic surgery, the adoption of laparoscopic cystectomy is of relevance in low-resource institutes. Methodology. This is a randomized controlled trial comparing laparoscopic radical cystectomy (LRC) to open radical cystectomy (ORC) at a single institute. Each group included thirty patients. The trial was designed to compare both approaches regarding operative time, blood loss, transfusion requirements, length of hospital stay, time to oral intake, requirement of opioid analgesia, and complications. Results. LRC was associated with less hospital stay (9.8 vs. 13.8 days, P = 0.001 ), less time to oral solid intake (6 vs. 8.6 days, P = 0.031 ), and lower opioid requirements (23.3% vs. 53.3%, P = 0.033 ). There was a trend towards lower blood loss and transfusion requirements, but this did not reach statistical significance. Overall complication rates were comparable. Conclusion. Laparoscopic radical cystectomy was associated with comparable postoperative outcomes when compared to ORC in the first laparoscopic cystectomy experience in our center. Benefitting from the assistance of an experienced laparoscopic surgeon is recommended to shorten the learning curve.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Start Of Oral Solids and Length Of Hospitalsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Start Of Oral Solids and Length Of Hospitalmentioning

confidence: 99%

See 2 more Smart Citations

Randomized Controlled Trial of Laparoscopic versus Open Radical Cystectomy in a Laparoscopic Naïve Center

Fadlalla

Hanafy

Abdelhakim

et al. 2021

Advances in Urology

View full text Add to dashboard Cite

show abstract

“…23 This finding is supported by a large retrospective study (not included in this review) of 41 498 patients that found an increased OR of developing ileus with per 1-year increment in age (OR 1.012, 95% CI 1.009 to 1.014, p<0.05). 76 The study also found that Open access the risk of ileus increased with several chronic conditions such as chronic pulmonary and neurological diseases. This underlines that reducing GI complication rates relies primarily on an overall medical assessment and that alternative treatment options should be considered in medically ill patients.…”

Section: Risk Factors For the Development Of Gi Complicationsmentioning

confidence: 88%

Short-term morbidity and mortality following radical cystectomy: a systematic review

et al. 2021

View full text Add to dashboard Cite

ObjectiveTo study short-term (<90 days) morbidity and mortality following radical cystectomy (RC) for bladder cancer and identify modifiable risk factors associated with these.DesignSystematic review.MethodsThe systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed and EMBASE were searched for relevant papers on 11 June 2019 and rerun on 27 May 2020. Studies reporting complications, reoperations, length of stay and mortality within 90 days were included. Studies were reviewed according to criteria from the Oxford Centre for Evidence-Based Medicine and the quality of evidence was assessed using the Newcastle–Ottawa Scale.ResultsThe search retrieved 1957 articles. Sixty-six articles were included. The quality of evidence was poor to good. Most studies were retrospective, and no randomised clinical trials were identified. Of included studies a median of 6 Martin criteria for reporting complications after surgery were fulfilled. The Clavien-Dindo classification for grading complications was most frequently used. The weighted overall complication rate after RC was 34.9% (range 28.8–68.8) for in-house complications, 39.0% (range 27.3–80.0) for 30-day complications and 58.5% (range 36.1–80.5) for 90-day complications. The most common types of complications reported were gastrointestinal (29.0%) and infectious (26.4%). The weighted mortality rate was 2.4% (range 0.9–4.7) for in-house mortality, 2.1% (0.0–3.7) for 30-day mortality and 4.7% (range 0.0–7.0) for 90-day mortality. Age and comorbidity were identified as the best predictors for complications following RC.ConclusionShort-term morbidity and mortality are high following RC. Reporting of complications is heterogeneous and the quality of evidence is generally low. There is a continuous need for randomised studies to address any intervention that can reduce morbidity and mortality following RC.PROSPERO registration number104937.

show abstract

Management of Common Complications After Radical Cystectomy, Lymph Node Dissection, and Urinary Diversion

2021

View full text Add to dashboard Cite

Ileus and small bowel obstruction after radical cystectomy for bladder cancer: Analysis from the Nationwide Inpatient Sample

Cited by 13 publications

References 20 publications

Randomized Controlled Trial of Laparoscopic versus Open Radical Cystectomy in a Laparoscopic Naïve Center

Randomized Controlled Trial of Laparoscopic versus Open Radical Cystectomy in a Laparoscopic Naïve Center

Short-term morbidity and mortality following radical cystectomy: a systematic review

Management of Common Complications After Radical Cystectomy, Lymph Node Dissection, and Urinary Diversion

Contact Info

Product

Resources

About