Immediate Radical Cystectomy for Massive Bleeding of Bladder Cancer
Joint Authors
Cochetti, Giovanni
Barillaro, Francesco
Boni, Andrea
Mearini, Ettore
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
To investigate feasibility and safety of our surgical strategy and clinical and oncological efficacy.
Materials and Methods.
In a high volume tertiary institution 225 radical cystectomies were performed from January 2012 to December 2014.
We prospectively collected data of a cohort of 12 patients who underwent immediate open radical cystectomy for bladder cancer causing massive haematuria, acute anemia, and impossibility of postponing surgery.
A retrospective study was carried out to evaluate operative data, intra- and postoperative complications, and oncologic outcomes.
The Clavien-Dindo Classification was used to grade complications.
The oncologic outcome was evaluated in terms of positive overall and soft tissue surgical margins and cancer specific survival at a median follow-up of 26 months.
Results.
Mean preoperative haemoglobin was 6.8 mg/dL.
Mean operative time was 278 minutes.
Mean blood loss was 633 mL.
The overall transfusion rate was 100% with a mean of 3.6 blood units per patient before surgery and 1.8 units postoperatively.
No intraoperative complications occurred.
Major complications (defined as grades III, IV, and V according to Clavien-Dindo Classification) were 18,5%.
In fact grade III complications were 14.8% and grade IV complications were 3.7%.
Grade V did not occur.
The positive surgical margin rate was 33.3% and cancer specific survival was 58,3% at median follow-up of 26 months.
Conclusions.
Immediate surgical management seems feasible, safe, and efficacious.
American Psychological Association (APA)
Cochetti, Giovanni& Barillaro, Francesco& Boni, Andrea& Mearini, Ettore. 2015. Immediate Radical Cystectomy for Massive Bleeding of Bladder Cancer. BioMed Research International،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1054398
Modern Language Association (MLA)
Cochetti, Giovanni…[et al.]. Immediate Radical Cystectomy for Massive Bleeding of Bladder Cancer. BioMed Research International No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1054398
American Medical Association (AMA)
Cochetti, Giovanni& Barillaro, Francesco& Boni, Andrea& Mearini, Ettore. Immediate Radical Cystectomy for Massive Bleeding of Bladder Cancer. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1054398
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054398