Factors Affecting Evisceration Following Open Radical Cystectomy
Authors : Cem Kezer, Mehmet Fatih Akbulut, Ömer Sarılar, Ufuk Çağlar, Mücahit Gelmiş, Faruk Özgör
Pages : 108-112
Doi:10.38175/phnx.1121645
View : 150 | Download : 360
Publication Date : 2022-11-10
Article Type : Research
Abstract :Introduction: To clarify predictive factors for evisceration after open radical cystectomy (ORC). Methods: Charts for patients who underwent ORC between 2017 and 2021 were reviewed retrospectively. Patient demographic characteristics and operative outcomes were recorded. Patients who underwent ORC were divided into two groups as patients who developed evisceration (Group 1) and patients who did not develop evisceration (Group 2). The groups were compared according to patient preoperative characteristics, intraoperative parameters and postoperative outcomes. Results: Total, 164 patients met study inclusion criteria, and 24 patients with evisceration and 140 patients without evisceration were enrolled into Group 1 and Group 2, respectively. In contrast, the presence of diabetes mellitus was significantly higher in eviscerated patients (25.0% and 5.7% p= 0.002), and eviscerated patients had significantly higher BMI (28.8 kg/m2 and 24.9 kg/m2, p= 0.001). Also, non-eviscerated patients had significantly higher preoperative albumin level (p= 0.001). Moreover, the operation time was significantly longer in patients with evisceration (332.5 min and 268.3 min, p= 0.001) and lymph node positivity was significantly higher in patients with evisceration (50.0% and 26.4%, p= 0.020). Multivariate regression analysis revealed that higher BMI, lower preoperative albumin level, and longer operation time were significantly associated with evisceration after ORC. Also, the presence of diabetes mellitus increased the risk of evisceration seven-fold following ORC. Conclusion: Present study showed for the first time that higher BMI, lower preoperative albumin level, longer operation time and presence of diabetes mellitus were predictive factors for evisceration following ORC.Keywords : mesane kanseri, komplikasyon, eviserasyon, radikal sistektomi