COMPARISON OF 30-DAY COMPLICATIONS BETWEEN ILEAL CONDUIT AND NEO BLADDER SURGICAL METHODS AFTER RADICAL CYSTECTOMY, A COHORT STUDY IN IRAN

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Ehsan Nourbakhsh, Kimia Ahmadi

Abstract

Objective: This study aimed to evaluate and compare 30-day postoperative complications between the ileal conduit and neo bladder methods after radical cystectomy.


Methods: The data of 94 patients with bladder cancer, undergoing radical cystectomy withtwo surgical methods of ileal conduit (n=32) and neo bladder (n=62) by the same surgeon, were collected. Thirty-day postoperative complications were collected, and the severity of complications in these two different methods was evaluated and compared according to the Clavien-Dindo standard system.


Results: According to the results of the current study, the chance of major complications in patients undergoing IC surgery is 1.81 times higher than those receiving the NB intervention. Therefore, the NB surgical approach is associated with fewer major complications than IC (27.5% vs. 40.6%, p-value=0.0196). The incidence of urinary tract infections (UTI) was slightly higher in NB than IC (6.4% vs. 6.2% p-value = 0.053). Besides, IC had a higher incidence of wound complications at the superficial surgical site (12% vs. 7%, p-value = 0.0327). The incidence of ileus was higher in NB compared to the IC group (38% vs. 28%, p-value = 0.510).


Conclusion: According to the observations of this study, the incidence of 30-day postoperative major complications was lower in the NB surgical approach compared to IC. Also, the incidence of surgical site infection was higher in the IC method.

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