The morbidity of laparoscopic radical cystectomy: analysis of postoperative complications in a multicenter cohort by the European Association of Urology (EAU)-Section of Uro-Technology

Albisinni, Simone; Oderda, Marco; Fossion, L.; Varca, Virginia; Rassweiler, Jens; Cathelineau, Xavier; Chłosta, Piotr; Taille, Alexandre de la; Gaboardi, Franco; Piéchaud, Thierry; Rimington, Peter; Salomon, Laurent; Sánchez-Salas, Rafael; Stolzenburg, Jens‐Uwe; Teber, Doğu; Velthoven, Roland Van

doi:10.1007/s00345-015-1633-1

Cited by 30 publications

(24 citation statements)

References 34 publications

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“…In the present study, however, overall and high‐grade complication rates were 53% and 17%, respectively, which were almost comparable with a recent ORC series . Consistent with the present results, recent randomized, controlled trials for RARC in addition to recent multicenter RARC and LRC studies have shown that the early complication rates were similar to that for ORC.…”

Section: Discussionsupporting

confidence: 92%

“…Several publications, including systemic reviews, have shown favorable postoperative complication rates for LRC or RARC, but most of the available studies are single high‐volume center experiences and therefore suffer from patient selection bias . Therefore, multi‐institutional databases are desirable for analyzing the outcome of minimally invasive radical cystectomy, but they are currently very limited . In addition, most studies of minimally invasive radical cystectomy were carried out in high‐volume academic Western institutions, and data from Japan and other Asian countries are scarce.…”

Section: Introductionmentioning

confidence: 99%

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Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

et al. 2019

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Objectives To describe the complications and their surgical management after laparoscopic radical cystectomy in a Japanese multicenter cohort. Methods The participants were drawn from a retrospective multicenter study at 10 institutions. We identified 436 patients who underwent laparoscopic radical cystectomy with no robot assistance. Early and late complications were graded according to their Clavien–Dindo classification. The records of all patients who underwent surgical interventions for laparoscopic radical cystectomy‐specific complications were also reviewed. Kaplan–Meier curves were used to describe the time to surgical intervention. Results The 90‐day rates for overall complications, high‐grade complications (Clavien–Dindo classification III–V) and mortality were 53%, 17% and 1.4%, respectively. Gastrointestinal (25%), infectious (22%) and abdominal wall‐related (9%) complications were the most common. The late complication rate was 18%, and a total of 81 patients (19%) underwent surgical intervention during the median follow‐up period of 22 months. The reoperation rate was 25% at 5 years. Gastrointestinal complications in the early postoperative period and abdominal wall‐related complications in the late postoperative period were the main reasons for reoperation. Seven (7%) out of 100 female patients underwent emergent surgical reoperation for transvaginal bowel evisceration as a result of vaginal dehiscence. Conclusions Early and late postoperative complications and surgical reoperations are notable after laparoscopic radical cystectomy. Abdominal wall‐related complications including vaginal dehiscence are common, and they represent the main indication for reoperation during long‐term follow up.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

et al. 2019

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“…As a treatment for muscle invasive bladder cancer, radical cystectomy remains a highly morbid operation with complication rates of 40-60% and mortality rates as high as 9% in the first 90 days after surgery. [19,20] Albisinni et al [21] have analyzed postoperative complications after laparoscopic radical cystectomy (LRC) and evaluated its risk factors in a large prospective cohort built by the ESUT across European centers involved in minimally invasive urology in the last decade. A total of 548 patients were available for final analysis, of which 258(47%) experienced early complications during the first 90 days after LRC.…”

Section: Resultsmentioning

confidence: 99%

The Immediate Results of Surgical Treatment of Bladder Cancer

Чарышкин¹,

Matorkin²,

Демин³

2016

Int J Biomed

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The objective of this study was to evaluate the immediate results of the use of ureterointestinal anastomosis according to the Bricker technique at radical cystectomy (RC) for bladder cancer (BC). Materials and Results:The study included 96 patients (11.5% women and 88.5% men) with BC, aged from 31 to 74 years (mean age 63.8±7.2), who underwent RC in the Lipetsk Regional Oncology Center, in the period from 2005 to 2014.Among the early postoperative complications, we identified dynamic ileus (16.7%), inflammatory complications of the surgical wound (12.5%), acute pyelonephritis (10.4%), and failure of ureterointestinal anastomosis (4.2%). The frequency of postoperative acute pyelonephritis corresponded to the findings of other authors. Two (2.1%) patients died from early postoperative complications because of concomitant diseases (ischemic heart disease, myocardial infarction); thus, postoperative mortality in the early postoperative period was 4.2%. Chronic pyelonephritis with chronic renal failure detected in 15(15.6%) patients after one year after surgery was the most frequent late postoperative complication. The stricture of ureterointestinal anastomosis in 9(9.4%) patients has been eliminated through relaparotomy and resection of anastomosis. The development of urolithiasis in 12(12.5%) patients after one year after surgery has required the implementation of contact lithotripsy and litholytic therapy. (Int J Biomed. 2016;6(2):110-113.).

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“…One of the most surprising results of this report was the high incidence of vaginal cuff dehiscence, which occurred in seven of 100 female patients. The incidence of this disastrous complication seems to be too high compared with previous reports . It is difficult to realize that this complication is not uncommon, and some critical questions as to whether this complication occurred in particular institutions, whether authors also experienced this complication when using open surgical procedure or what kind of surgical technique was used for these patients remain.…”

mentioning

confidence: 87%

“…Ureteroileal anastomotic and urethral anastomotic strictures, and abdominal wall‐related complications were commonly observed. Another report of laparoscopic radical cystectomy showed late complications were observed in 12% of patients, and mainly involved ureteroileal anastomotic stenosis or incisional hernias . Hautmann et al .…”

mentioning

confidence: 99%

Editorial Comment to Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

Sato

2019

Int J of Urology

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The morbidity of laparoscopic radical cystectomy: analysis of postoperative complications in a multicenter cohort by the European Association of Urology (EAU)-Section of Uro-Technology

Abstract: In this multicenter, prospective, large database, LRC appears to be a safe but morbid procedure. Standardized complication reporting should be encouraged to evaluate objectively a surgical procedure and permit comparison across studies.

Cited by 30 publications

References 34 publications

Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

The Immediate Results of Surgical Treatment of Bladder Cancer

Editorial Comment to Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort

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