Universität zu Köln

Fischer, Nicolas, Ellinger, Joerg, Koeditz, Barbara, Heidenreich, Axel and Hoffmann, Manuela Andrea (2021). Predictors for Outcome and Complications Related to Urinary Diversion. Anticancer Res., 41 (11). S. 5585 - 5592. ATHENS: INT INST ANTICANCER RESEARCH. ISSN 1791-7530

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Abstract

Background/Aim: Predictors for complications such as insufficiency of intestinal anastomosis in urinary diversion and other risk factors are not well defined. We aimed to elucidate predictive factors for complications in urinary diversions based on preoperative comorbidities and major complications. A special focus was set on anastomosis insufficiency as a major complication. Patients and Methods: Preoperative comorbidities, postoperative complications, duration of hospital stay, and follow-up were analyzed in 317 patients with urinary diversion. The impact of preoperative comorbidities on diversion types was described and quantified as defined by the age-adjusted Charlson Comorbidity Index. Results: Overall, 14.8% of patients showed anastomosis-related complications, most within the ileal conduit group (15.9% in the cohort). Severe complications (Clavien-Dindo Classification Score >IIIa) were found in smokers (p=0.046), and in patients with vascular diseases (p=0.007), a high American Society of Anaesthesiologists (ASA)-score (p=0.047), a R1-(p=0.009), as well as a pN1 (p=0.007) status. Conclusion: Several independent predictors for several postoperative complications in urinary diversions were identified, which were independent of the diversion method.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fischer, Nicolas UNSPECIFIED UNSPECIFIED UNSPECIFIED Ellinger, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED Koeditz, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Manuela Andrea UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-580345
DOI:	10.21873/anticanres.15372
Journal or Publication Title:	Anticancer Res.
Volume:	41
Number:	11
Page Range:	S. 5585 - 5592
Date:	2021
Publisher:	INT INST ANTICANCER RESEARCH
Place of Publication:	ATHENS
ISSN:	1791-7530
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RADICAL CYSTECTOMY; ILEAL CONDUIT; CLASSIFICATION; LIFE Multiple languages Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58034