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Časopis Clinical urology – Článok Complications of radical cystectomy in patients with cancer of the urinary bladder

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: Urological oncology

Complications of radical cystectomy in patients with cancer of the urinary bladder

Vincent Nagy, Miroslav Iláš, Ladislav Valanský, Ľubomír Lachváč, Jaroslav Beck, Vladimíra Sobolová, Patrícia Horváthová, Lucia Kišáková

Objective: To evaluate the most common surgical complications of radical cystectomy with urinary diversion.
Material and Methods: We retrospectively evaluated 72 patients (16 women, 56 men) from the years 2000-2017. The indication for surgery was invasive and recurrent noninvasive high grade bladder cancer. Age of patients: 39-78 years, average 61 years. Urine was derived as follows: ureteroileostomy (Bricker) in 63 (87.5%), orthotopic urinary derivation (Studer) in 7 (9.7%), ureterosigmoidostomy in 1 (1.4%) and nephrostomy of the transplanted kidney in one (1.4%) patient.
Results: The pTNM classification in 72 patients was as follows: pT0 - no patient, pTIS 2 (2.8%), pT1-8 (11.1%), pT2-23 (31.9%), pT3-26 (36,1%), pT4-13 (18,1%), pN0-58 (80,6%), pN1-5 (6,9%), pN2-8 (11,1%), pN3-1 (1,4%), M0-70 (97,2%), M1a-2 (2,8%). Complications occurred in 42 (58,3%) patients. Early complications within 3 months were as follows: acute pyelonephritis in 10 (13.9%), operative wound dehiscence in 7 (9.7%), urinary fistula in 5 (6.9%), ileous condition 2 (2, 8%), diffuse peritonitis 2 (2.8%), enterocutaneous fistula 1 (1.4%), hematoma 1 (1.4%), lymphocele 1 (1.4%), enterorhagia 1 (1.4%), abscess 1 (1.4%). Late complications over a 3-month period: ileus with subsequent resection of ileum 1 (1.4%), abscessing pyelonephritis with nephrectomy in 2 (2.8%), ureteral strictures with hydronephrosis requiring surgery in 6 (8.3%) patients, local and generalized metastases in 12 (16.7%) patients. In 3 (4.2%) patients, we made a secondary uretrectomy for metachronic carcinoma of the urethra. Perioperative mortality within 30 days: 2 (2.8%) and mortality within 90 days: 1 (1.4%) patient.
Conclusion: Radical cystectomy with urinary derivation is associated with significant morbidity. Complications are acceptable with regard to the long-term outcome

bladder cancer, radical cystectomy, urinary derivation, complications
Klin urol 2019; 15 (1): 19 – 25

Ročník 2019  Témy časopisu Clinical urology 1 / 2019

Urological oncology

Pavol Dubinský
Jozef Marenčák
Vincent Nagy, Miroslav Iláš, Ladislav Valanský, Ľubomír Lachváč, Jaroslav Beck, Vladimíra Sobolová, Patrícia Horváthová, Lucia Kišáková
Magdaléna Božiková, Vladimír Baláž

Funkcional urology

Alena Buková, Magdaléna Hagovská, Ján Švihra, Agata Hrobacz, Dana Dračková
Ľubomír Lachváč
Vincent Nagy
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3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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Which of following factors is not related to rosacea?
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Period 3x per year
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The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné