| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296948 |
| ISSN: | 1677-5538 |
| Autors: | Castillo, Octavio A1 Abreu, Sidney C2 Mariano, Mirandolino B3 Tefilli, Marcos V Hoyos, Jorge Pinto, Ivan Cerqueira, Joao B4 Gonzaga, Lucio F Fonseca, Gilvan N5 |
| Institucions: | 1Universidad de Chile, Facultad de Medicina, Santiago de Chile. Chile 2Hospital Urologico de Brasilia, Brasilia, Distrito Federal. Brasil 3Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul. Brasil 4Universidade Federal do Ceara, Fortaleza, Ceara. Brasil 5Universidade Federal de Goias, Goiania, Goias. Brasil |
| Any: | 2006 |
| Període: | May-Jun |
| Volum: | 32 |
| Número: | 3 |
| Paginació: | 300-305 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | OBJECTIVE: In this study, we have gathered the second largest series yet published on laparoscopic radical cystectomy in order to evaluate the incidence and cause of intra and postoperative complication, conversion to open surgery, and patient mortality. MATERIALS AND METHODS: From 1997 to 2005, 59 laparoscopic radical cystectomies were performed for the management of bladder cancer at 3 institutions in South America. Twenty nine patients received continent urinary diversion, including 25 orthotopic ileal neobladders and 4 Indiana pouches. Only one case of continent urinary diversion was performed completely intracorporeally. RESULTS: Mean operative time was 337 minutes (150-600). Estimated intraoperative blood loss was 488 mL (50-1500) and 12 patients (20%) required blood transfusion. All 7 (12%) intraoperative complications were vascular in nature, that is, 1 epigastric vessel injury, 2 injuries to the iliac vessels (1 artery and 1 vein), and 4 bleedings that occurred during the bladder pedicles control. Eighteen (30%) postoperative complications (not counting mortalities) occurred, including 3 urinary tract infections, 1 pneumonia, 1 wound infection, 5 ileus, 2 persistent chylous drainage, 3 urinary fistulas, and 3 (5%) postoperative complications that required surgical intervention (2 hernias - one in the port site and one in the extraction incision, and 1 bowel obstruction). One case (1.7%) was electively converted to open surgery due to a larger tumor that precluded proper posterior dissection. Two mortalities (3.3%) occurred |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Oncología, Laparoscopia, Neoplasias, Vejiga, Cistectomía, Complicaciones quirúrgicas |
| Keyword: | Medicine, Oncology, Surgery, Laparoscopy, Neoplasms, Bladder, Cystectomy, Surgical complications |
| Text complet: | Texto completo (Ver HTML) |
