Document Detail


Critical evaluation of 1-stage cystectomy--reducing morbidity and mortality.
MedLine Citation:
PMID:  7230334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although it is a major surgical effort removal of the bladder can be done with reasonable safety. In our opinion cystectomy and urinary diversion by an ileal conduit can be performed as a conjoined procedure without need for staging to reduce risks. Mortality up to 3 months postoperatively was 3.9 per cent and the major complication rate for surviving patients was 18.6 per cent. Minor complications occurred in 28.7 per cent of all patients but were treated easily. We did not note increased morbidity after radical cystectomy compared to other types of cystectomy. A higher complication rate was noted in patients who had undergone preoperative radiation treatment, and wound infection rate was higher in patients with neurogenic bladder dysfunction and chronic cystitis. The advantages of 1-stage compared to 2-stage cystectomy would include the fact that it eliminates the need for a second operation, saves considerable expense by virtue of shortened hospitalization and an earlier resumption of the patient's productivity, achieves early removal of the malignancy, decreases the chances of infection by avoiding a second laparotomy in the presence of a stoma and allows better exposure in the absence of previous ureteroileal anastomoses.
Authors:
W Brannan; H A Fuselier; M Ochsner; E R Randrup
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  125     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1981 May 
Date Detail:
Created Date:  1981-07-23     Completed Date:  1981-07-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  640-2     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Child, Preschool
Female
Humans
Ileum / surgery
Infant
Male
Methods
Middle Aged
Postoperative Complications / prevention & control
Retrospective Studies
Urinary Bladder Diseases / mortality,  surgery*
Urinary Diversion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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