Open Radical Cystectomy: Single Center Results and Outcomes in the Last Five Years

Open Radical Cystectomy: Single Center Results and Outcomes in the Last Five Years

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Radical cystectomy is a therapeutic modality of choice for many patients with muscle- invasive bladder cancer.We conducted a retrospective study of open radical cystectomies performed at a single Center from January 2017 to January 2022.Decision on the urinary diversion type was based on tumor stage, comorbidities, patient age, general condition and preferences.

There were 19.5% of female and 80.5% of male patients, median age 67 (range 38-90) years.

We performed 96 (44.7%) ureterocutaneostomies (UCS), 67 (31.2%) ileal conduit derivations, 2000 bmw 528i front bumper and 52 (24.

2%) orthotopic neobladder derivations (OND).There were 17 (7.9%) complications after UCS, 7 (3.

2%) after incontinent urinary diversion, and 7 (3.2%) after OND.Fifty-five (25.

6%) patients developed early complications, of which 31 (14.4%) during the initial hospitalization period, and 24 (11.2%) required re-hospitalization in the 30-day postoperative period.

The most common wound-related complication was wound dehiscence, most typically caused by infection.The main reason for readmission was urosepsis.The 30-day mortality rate was read more 0.

9%.Late complications that occurred 30 days after the operation were found in 39 (18.1%) cases.

Bladder cancer is a high-mortality disease that requires a multidisciplinary and personalized approach.Further development of multidisciplinary teams, perioperative and postoperative care, and follow- up strategy is needed to improve the oncologic and functional outcomes of this procedure.