MP63-16 UNPLANNED REOPERATION FOLLOWING OPEN AND MINIMALLY INVASIVE RADICAL CYSTECTOMY. ANALYSIS OF THE NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (NSQIP) DATABASE.

Abstract

You have accessJournal of UrologyBladder Cancer: Invasive V1 Apr 2016MP63-16 UNPLANNED REOPERATION FOLLOWING OPEN AND MINIMALLY INVASIVE RADICAL CYSTECTOMY. ANALYSIS OF THE NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (NSQIP) DATABASE. Ahmad Shabsigh Ahmad ShabsighAhmad Shabsigh More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.945AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To define the rates and the predictors of unplanned reoperation (UR) following open (ORC) and minimally invasive radical cystectomy (MIRC) for bladder cancer. METHODS We performed a retrospective review of prospectively collected database (NSQIP) of all patients who underwent open and minimally invasive radical cystectomy between 2005 and 2013. Patient’s demographics, unplanned reoperation rate and its causes were reported. Multivariate analysis was performed to characterize predictors of unplanned reoperation. RESULTS Between 2005 and 2013, a total of 2279 cases were identified. 142 patients (6.2%) underwent unplanned reoperation within 30 days of cystectomy. Data regarding possible causes of reoperation was available for 2012 dataset. In 2012, 71 patients out of 1010 patients (7.0%) underwent reoperation following cystectomy. Wound dehiscence (27.9%), intestinal obstruction (22.1%), intestinal perforation (10.2%) and urinary anastmosis related complications (10.2%) were the most common causes of reoperation. Unplanned reoperation was lower in the MIRC group (2.2 % vs. 6.4 %), P= 0.06). Logistic regression analysis was performed to define the predictors of reoperation. In multivariate analysis disseminated cancer (OR 1.99, 95% CI 1.05-3.77, P= 0.03), preoperative dyspnea (OR 1.78, 95% CI 1.10-2.88, P= 0.01), male gender (OR 1.62, 95% CI 1.03-2.56, P0.04) and BMI (OR 1.05, 95% CI 1.02-1.08, P= 0.001) were independent risk factors of unplanned reoperation. CONCLUSIONS Both ORC and MIRC have comparable outcomes regarding unplanned reoperation rates. Wound and bowel related complications are the major indications for unplanned reoperation following radical cystectomy. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e827 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Ahmad Shabsigh More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...