[Radical cystectomy: therapeutic aspects of preoperative and early postoperative management].
Urologiia
; (4): 44-50, 2019 Sep.
Article
in Ru
| MEDLINE
| ID: mdl-31535804
ABSTRACT
AIM:
to improve the results of radical cystectomy by optimization of patient preparation for surgery and early postoperative care. MATERIALS ANDMETHODS:
A total of 136 patients who underwent radical cystectomy and either orthotopic ileal neobladder or ileal conduit formation were included in the study. Brikkers operation was performed in 92 patients (76% men and 24% women) aged from 39 to 83 years, while in 44 patients (97.7% men, 2.3% women) aged from 32 to 75 years the Studer ileal neobladder was created. All patients underwent preoperative comprehensive examinations in order to determine type and extent of surgical treatment.RESULTS:
A complication rate after radical cystectomy with urine derivation using bowel segment was 49.2%. Mortality rate in early postoperative period was 3.9%.CONCLUSION:
An algorithm of postoperative care after radical cystectomy with formation of either orthotopic neobladder or ileal conduit and consideration of comorbid status and preparation which we have used in clinical practice was developed. According to the results, after implementation of algorithm of management in preoperative and early postoperative period a decrease in complications and mortality rate has been found.Key words
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urinary Diversion
/
Cystectomy
Type of study:
Observational_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Ru
Journal:
Urologiia
Journal subject:
UROLOGIA
Year:
2019
Document type:
Article
Affiliation country:
Rusia