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The risk of radical cystectomy
1Department of Urology, Cleveland Clinic.
British Journal of Urology
|May 1, 1989
Summary
Cystectomy (bladder removal) and urinary diversion surgery carry a low operative risk, with a mortality rate of 0.4%. Advances in surgical care have made this procedure safer than commonly believed.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Cystectomy and urinary diversion are major surgical procedures.
- The perceived operative risk may be higher than the actual risk.
Purpose of the Study:
- To evaluate the operative risk of cystectomy and urinary diversion.
- To assess the safety of the procedure based on institutional data.
Main Methods:
- Retrospective review of operative outcomes.
- Analysis of complications and mortality over an 8 1/2-year period.
- Data collected from a single surgeon at one institution.
Main Results:
- Operative mortality was 0.4% (1/229 patients).
- Low rates of specific complications: 0% urinary leaks, 1.3% bowel leak, 0.9% bowel obstruction, 0% rectal injuries, 1.3% pelvic abscesses.
Conclusions:
- Cystectomy and urinary diversion are associated with a low operative risk.
- Improvements in peri-operative care contribute to the safety of these procedures.
- The actual risk is lower than often perceived.