Is extraperitoneal approach in radical cystectomy really effective on bowel recovery? A comperative analysis of extraperitoneal versus transperitoneal approach

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dc.authorid0000-0002-4770-7535en_US
dc.authorid0000-0002-1454-5672en_US
dc.authorid0000-0003-4449-9037en_US
dc.contributor.authorGüner, Ekrem
dc.contributor.authorSöğütdelen, Emrullah
dc.contributor.authorŞeker, Kamil Gökhan
dc.contributor.authorÖzdemir, Osman
dc.date.accessioned2024-02-08T13:01:31Z
dc.date.available2024-02-08T13:01:31Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationGüner, 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.en_US
dc.identifier.doi10.4274/uob.galenos.2022.2021.12.2
dc.identifier.endpage97en_US
dc.identifier.issn2147-2270
dc.identifier.issue3en_US
dc.identifier.startpage93en_US
dc.identifier.trdizinid1170453en_US
dc.identifier.urihttp://dx.doi.org/10.4274/uob.galenos.2022.2021.12.2
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11997
dc.identifier.volume21en_US
dc.identifier.wosWOS:000861224700005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorSöğütdelen, Emrullah
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofÜroonkoloji Bülteni-Bulletin of Urooncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRadical Cystectomyen_US
dc.subjectExtraperitoneal Approachen_US
dc.subjectIleusen_US
dc.subjectBowel Recoveryen_US
dc.subjectBladder-Canceren_US
dc.titleIs extraperitoneal approach in radical cystectomy really effective on bowel recovery? A comperative analysis of extraperitoneal versus transperitoneal approachen_US
dc.typeArticleen_US

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