Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort
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...
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| Veröffentlicht in: | International journal of urology 2019-04, Vol.26 (4), p.493-498 |
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| container_title | International journal of urology |
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| creator | Kanno, Toru Ito, Katsuhiro Sawada, Atsuro Saito, Ryoich Kobayashi, Takashi Yamada, Hitoshi Inoue, Takahiro Ogawa, Osamu |
| description | 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. |
| doi_str_mv | 10.1111/iju.13917 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179538452</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2201907228</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3777-3ddda91674afc10e1b6ffb051eb42f9790e54eb9a573ec4fde0fd657325b59883</originalsourceid><addsrcrecordid>eNp1kE1LxDAURYMoOn4s_AMScKOLal7aTpqlDH6MCG50HdL0BTO0TU1aZP69GUddCGYTEs473HcJOQV2Belcu9V0BbkEsUNmUBQ846zgu2TGJMisAsEPyGGMK8Yg51Dtk4OcCWC5EDOCC98NrTN6dL6PVPcNDegHDD8fdsRAWz3o4KPxgzM06CbxLTXrOKIZfbemrqeaPiaox4i0m9rRGew3k8a_-TAekz2r24gn3_cReb27fVk8ZE_P98vFzVNmUhiR5U3TaAlzUWhrgCHUc2trVgLWBbdSSIZlgbXUpcjRFLZBZpt5evCyLmVV5UfkYusdgn-fMI6qc9Fg26ZgfoqKg5BlXhUlT-j5H3Tlp9CndIpzBpIJzjfCyy1l0voxoFVDcJ0OawVMbbpXqXv11X1iz76NU91h80v-lJ2A6y3w4Vpc_29Sy8fXrfITFsWPMw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2201907228</pqid></control><display><type>article</type><title>Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Kanno, Toru ; Ito, Katsuhiro ; Sawada, Atsuro ; Saito, Ryoich ; Kobayashi, Takashi ; Yamada, Hitoshi ; Inoue, Takahiro ; Ogawa, Osamu</creator><creatorcontrib>Kanno, Toru ; Ito, Katsuhiro ; Sawada, Atsuro ; Saito, Ryoich ; Kobayashi, Takashi ; Yamada, Hitoshi ; Inoue, Takahiro ; Ogawa, Osamu</creatorcontrib><description>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.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.13917</identifier><identifier>PMID: 30710377</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Abdomen ; Abdominal wall ; bladder cancer ; Classification ; complication ; Dehiscence ; Intestine ; Laparoscopy ; Postoperative period ; radical cystectomy ; reoperation ; Robotic surgery ; Vagina</subject><ispartof>International journal of urology, 2019-04, Vol.26 (4), p.493-498</ispartof><rights>2019 The Japanese Urological Association</rights><rights>2019 The Japanese Urological Association.</rights><rights>Copyright © 2019 The Japanese Urological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3777-3ddda91674afc10e1b6ffb051eb42f9790e54eb9a573ec4fde0fd657325b59883</citedby><cites>FETCH-LOGICAL-c3777-3ddda91674afc10e1b6ffb051eb42f9790e54eb9a573ec4fde0fd657325b59883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.13917$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.13917$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30710377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kanno, Toru</creatorcontrib><creatorcontrib>Ito, Katsuhiro</creatorcontrib><creatorcontrib>Sawada, Atsuro</creatorcontrib><creatorcontrib>Saito, Ryoich</creatorcontrib><creatorcontrib>Kobayashi, Takashi</creatorcontrib><creatorcontrib>Yamada, Hitoshi</creatorcontrib><creatorcontrib>Inoue, Takahiro</creatorcontrib><creatorcontrib>Ogawa, Osamu</creatorcontrib><title>Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>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.</description><subject>Abdomen</subject><subject>Abdominal wall</subject><subject>bladder cancer</subject><subject>Classification</subject><subject>complication</subject><subject>Dehiscence</subject><subject>Intestine</subject><subject>Laparoscopy</subject><subject>Postoperative period</subject><subject>radical cystectomy</subject><subject>reoperation</subject><subject>Robotic surgery</subject><subject>Vagina</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LxDAURYMoOn4s_AMScKOLal7aTpqlDH6MCG50HdL0BTO0TU1aZP69GUddCGYTEs473HcJOQV2Belcu9V0BbkEsUNmUBQ846zgu2TGJMisAsEPyGGMK8Yg51Dtk4OcCWC5EDOCC98NrTN6dL6PVPcNDegHDD8fdsRAWz3o4KPxgzM06CbxLTXrOKIZfbemrqeaPiaox4i0m9rRGew3k8a_-TAekz2r24gn3_cReb27fVk8ZE_P98vFzVNmUhiR5U3TaAlzUWhrgCHUc2trVgLWBbdSSIZlgbXUpcjRFLZBZpt5evCyLmVV5UfkYusdgn-fMI6qc9Fg26ZgfoqKg5BlXhUlT-j5H3Tlp9CndIpzBpIJzjfCyy1l0voxoFVDcJ0OawVMbbpXqXv11X1iz76NU91h80v-lJ2A6y3w4Vpc_29Sy8fXrfITFsWPMw</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Kanno, Toru</creator><creator>Ito, Katsuhiro</creator><creator>Sawada, Atsuro</creator><creator>Saito, Ryoich</creator><creator>Kobayashi, Takashi</creator><creator>Yamada, Hitoshi</creator><creator>Inoue, Takahiro</creator><creator>Ogawa, Osamu</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201904</creationdate><title>Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort</title><author>Kanno, Toru ; Ito, Katsuhiro ; Sawada, Atsuro ; Saito, Ryoich ; Kobayashi, Takashi ; Yamada, Hitoshi ; Inoue, Takahiro ; Ogawa, Osamu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3777-3ddda91674afc10e1b6ffb051eb42f9790e54eb9a573ec4fde0fd657325b59883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdomen</topic><topic>Abdominal wall</topic><topic>bladder cancer</topic><topic>Classification</topic><topic>complication</topic><topic>Dehiscence</topic><topic>Intestine</topic><topic>Laparoscopy</topic><topic>Postoperative period</topic><topic>radical cystectomy</topic><topic>reoperation</topic><topic>Robotic surgery</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanno, Toru</creatorcontrib><creatorcontrib>Ito, Katsuhiro</creatorcontrib><creatorcontrib>Sawada, Atsuro</creatorcontrib><creatorcontrib>Saito, Ryoich</creatorcontrib><creatorcontrib>Kobayashi, Takashi</creatorcontrib><creatorcontrib>Yamada, Hitoshi</creatorcontrib><creatorcontrib>Inoue, Takahiro</creatorcontrib><creatorcontrib>Ogawa, Osamu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanno, Toru</au><au>Ito, Katsuhiro</au><au>Sawada, Atsuro</au><au>Saito, Ryoich</au><au>Kobayashi, Takashi</au><au>Yamada, Hitoshi</au><au>Inoue, Takahiro</au><au>Ogawa, Osamu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2019-04</date><risdate>2019</risdate><volume>26</volume><issue>4</issue><spage>493</spage><epage>498</epage><pages>493-498</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>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.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30710377</pmid><doi>10.1111/iju.13917</doi><tpages>6</tpages></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Abdomen Abdominal wall bladder cancer Classification complication Dehiscence Intestine Laparoscopy Postoperative period radical cystectomy reoperation Robotic surgery Vagina |
| title | Complications and reoperations after laparoscopic radical cystectomy in a Japanese multicenter cohort |
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