Is extraperitoneal approach in radical cystectomy really effective on bowel recovery? A comperative analysis of extraperitoneal versus transperitoneal approach
Yükleniyor...
Dosyalar
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publ House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Radical cystectomy with extended pelvic lymph node (LN) dissection is a gold standard surgical treatment for muscle-invasive bladder cancer which is a common urological malignancy in elderly people. Despite common surgical technique is a transperitoneal approach, we aimed to analyze the benefit of extraperitoneal approach radical cystectomy in the gastrointestinal system.Materials and Methods: We retrospectively analyzed a total number of 110 (52 intraperitoneal and 58 extraperitoneal) radical cystectomy patients operated extraperitoneal or transperitoneal by 2 expert urologists between January 2016 to December 2019 in this study. All operated patients had indications for radical cystectomy and extended LN dissection and Wallace type ileal loop were performed adding to the operations. Patients have available data were included in this study and complications were assessed by Clavien-Dindo classification system.Results: The median age of a total number of 110 patients was 66 (minimum: 43 -maximum: 82) years. There were no differences between groups in terms of surgical region infection, urinary leakage, ileus treated surgically, and emergency admission after discharge of patients. Twenty-four (46.1%) patients in the transperitoneal group needed for erythrocyte transfusion whereas, 16 (27.5%) patients in the extraperitoneal approach group (p=0.04). Additionally, 13 (19.2%) patients in the transperitoneal group had ileus treated conservatively, whereas, 8 (13.7%) patients in the extraperitoneal approach group (p=0.02).Conclusion: Extraperitoneal approach and retroperitonealization of an ileal loop in radical cystectomy are safe and effective on oncological surgical principles. It may also provide better gastrointestinal motility after surgery.
Açıklama
Anahtar Kelimeler
Radical Cystectomy, Extraperitoneal Approach, Ileus, Bowel Recovery, Bladder-Cancer
Kaynak
Üroonkoloji Bülteni-Bulletin of Urooncology
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
21
Sayı
3
Künye
Güner, E., Söğütdelen, E., Şeker, K. G., & Özdemir, O. (2022). Is Extraperitoneal Approach in Radical Cystectomy Really Effective on Bowel Recovery? A Comperative Analysis of Extraperitoneal Versus Transperitoneal Approach. Bull Urooncol, 21(3), 93-97.
