Variabilidad en las complicaciones y la mortalidad quirúrgica tras cistectomía radical en España

Llorente, C.; López, B.; Hernández, Virginia; Guijarro, A.; Pérez‐Fernández, Elia

doi:10.1016/j.acuro.2016.06.003

Cited by 14 publications

(2 citation statements)

References 9 publications

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“…The ERAS ® guidelines for cystectomies have several items that aim to reduce respiratory complications, such as early mobilization and control of fluid overload, which in turn aim to reduce other complications such as ileus [ 10 ]. In the literature, between 9 and 12% of patients are shown to present PRC after undergoing CUD [ 11 , 12 ]. Moreover, a study by the University of California and the University of Iowa in which more than 6500 patients were analyzed showed that those with both a respiratory complication and a postoperative infection had the highest overall odds of mortality [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny?

Martinez Carrique,

Crettenand,

Stritt

et al. 2024

JCM

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Background: Cystectomy with urinary diversion (CUD) is a highly morbid surgery. Despite implementing an enhanced recovery after surgery (ERAS®) protocol, postoperative respiratory complications (PRC) within 30 days after surgery remain frequent. This study aims to identify patients at higher risk of developing PRC after CUD. Methods: We conducted a retrospective analysis of 242 patients who underwent CUD at Lausanne University Hospital from 2012 to 2022, adhering to ERAS® guidelines. Data on postoperative complications, including pneumonia, respiratory failure, pulmonary embolism, lobar atelectasis, and pleural effusion, were analyzed. Chi-square and Mann–Whitney U tests compared patients with and without PRC. A multivariable Cox model identified independent prognostic factors. Results: PRC occurred in 41 patients (17%). Those with PRC experienced longer hospital stays and higher 30-day mortality rates. Poor ERAS® compliance was a significant risk factor. Multivariable analysis showed pneumonia was associated with postoperative ileus, while pulmonary embolism correlated with infectious and cardiovascular complications. Conclusions: PRC result in extended hospitalization and decreased survival. Rigorous adherence to ERAS® protocols, including early mobilization, respiratory physiotherapy, and avoiding nasogastric tubes, is essential for preventing PRC.

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Section: Introductionmentioning

confidence: 99%

Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny?

Martinez Carrique,

Crettenand,

Stritt

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…In another large SEER study with 7,076 patients, 90-day mortality ranged from 10.75% to 13.1% ( 16 ). In Spain a national database study that has evaluated 7,999 patients found a 4.7% in-hospital mortality and 6.2% 90-day mortality rate ( 17 ).…”

mentioning

confidence: 99%

High mortality rates after radical cystectomy: we must have acceptable protocols and consider the rationale of cutaneous ureterostomy for high-risk patients

Korkes

Palou

2019

Int. braz j urol.

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Estudio prospectivo comparativo entre cistectomía radical laparoscópica y abierta: resultados operatorios y oncológicos

Esquinas

Alonso

Mateo

et al. 2018

Actas Urológicas Españolas

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Variabilidad en las complicaciones y la mortalidad quirúrgica tras cistectomía radical en España

Cited by 14 publications

References 9 publications

Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny?

Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny?

High mortality rates after radical cystectomy: we must have acceptable protocols and consider the rationale of cutaneous ureterostomy for high-risk patients

Estudio prospectivo comparativo entre cistectomía radical laparoscópica y abierta: resultados operatorios y oncológicos

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