Analysis of life-threatening complications during perioperative period in patient s undergoing radical ;cystectomy with orthotopic neobladder
10.3760/cma.j.issn.0253-3766.2016.03.015
- VernacularTitle:膀胱癌根治性膀胱切除加肠道原位新膀胱术患者围手术期致命性并发症分析
- Author:
Hong YANG
1
;
Himin LIUZ
;
Yonghong LEI
;
Yang QIN
;
Lingzhen MENG
;
Jun LI
;
Libing HU
;
Yong YANG
Author Information
1. 650118昆明医科大学第三附属医院云南省肿瘤医院泌尿外科
- Keywords:
Bladder neoplasms;
Perioperative period;
Complications;
Radical cystectomy and orthotopic ileal neobladder
- From:
Chinese Journal of Oncology
2016;38(3):236-239
- CountryChina
- Language:Chinese
-
Abstract:
[Abstar ct] Objective To investigate the factors influencing life-threatening complications during perioperative period in patients undergoing traditional cystectomy with orthotopic neobladder.Methods To retrospectively analyze the clinical data of 206 cases who underwent radical cystectomy with orthotopic neobladder.Logistic regression analysis was used to analyze the significance of the factors such as age, amount of bleeding, pathological stage, effective supplement of albumin, cardiovascular disease, diabetes mellitus, operation duration, intestinal preparation, etc., on the occurrence of severe complications.Resu lts Among the 206 patients who underwent radical cystectomy with orthotopic neobladder, 22 cases ( 10.7%) had life-threatening complications ( intestinal fistula, hemorrhagic shock, severe infection ) during the perioperative period, and 9 cases died ( mortality rate 4.4%) .Logistic regression analysis showed that the elderly age, long operation duration, lack of effective supplement of albumin, diabetes mellitus are independent factors influencing the occurrence of life-threatening complications during the perioperative period of radical cystectomy with orthotopic ileal neobladder ( P<0.05 for all) , and are risk factors positively correlated with the severe complications.Conclusion The elderly age, long operation duration, lack of effective supplement of albumin, and diabetes mellitus are risk factors of the occurrence of life-threatening complications during the perioperative period in patients undergoing radical cystectomy with orthotopic ileal neobladder, therefore, attention should be paid to this issue.
