Complications of radical cystectomy Book Section
| Authors: | Pekala, K. R.; Bochner, B. H. |
| Editors: | Hoffman, M.; Hull, T. L.; Bochner, B. H. |
| Article/Chapter Title: | Complications of radical cystectomy |
| Abstract: | Radical cystectomy in women (with hysterectomy, bilateral salpingectomy, +/− oophorectomy, +/− anterior vaginectomy and urethral excision) and pelvic lymphadenectomy with subsequent urinary diversion are the gold-standard operation for women with invasive bladder cancer [1]. When performed for bladder cancer the average age of women undergoing cystectomy is 68 years, with two thirds having a prior history of extensive smoking. Owing to advanced age, multiple comorbidities, and the extent of the procedure, complications are common. In a series of 1142 radical cystectomy patients at a large cancer center, in which complications were recorded prospectively, 64% of patients were observed to have a complication of any grade (1–5) at 90-days. Approximately two thirds experienced a complication during the initial hospital admission and 58% following postoperative discharge. Importantly, of these complications, only 13% were of high grade (grades 3–5) with a 30-day mortality rate of 1.5% [2]. These are consistent with more contemporary series, in which the rate of grade 3–5 complications was 14.4% at 30 days and 21.7% at 90 days [3]. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2025. |
| Keywords: | lymphadenectomy; radical cystectomy; mortality rate; comorbidities; bladder cancers; gold standards; hospital admissions; average ages; high grades |
| Book Title: | Major Complications of Female Pelvic Surgery: A Multidisciplinary Approach |
| ISBN: | 978-3-031-66771-8 |
| Publisher: | Springer Nature |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2025-01-01 |
| Start Page: | 129 |
| End Page: | 135 |
| Language: | English |
| DOI: | 10.1007/978-3-031-66772-5_13 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book Chapter: 13 -- Located in "Part III - Lower Urinary Tract" -- Source: Scopus |
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