Cited 2 times in
Predicting factor analysis of postoperative complications after robot-assisted radical cystectomy: Multicenter KORARC database study
DC Field | Value | Language |
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dc.contributor.author | 한웅규 | - |
dc.contributor.author | 함원식 | - |
dc.contributor.author | 나군호 | - |
dc.date.accessioned | 2022-12-22T04:05:56Z | - |
dc.date.available | 2022-12-22T04:05:56Z | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 0919-8172 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/192042 | - |
dc.description.abstract | Objectives: To evaluate postoperative complications following robot-assisted radical cystectomy in patients diagnosed with bladder cancer and reveal if there are predictors for postoperative complications. Methods: Prospectively collected medical records of 730 robot-assisted radical cystectomy patients between 2007/04 and 2019/05 in 13 tertiary referral centers were reviewed. Perioperative outcomes were compared between two groups by postoperative complications (complication vs non-complication). We assessed recurrence-free survival, cancer-specific survival, and overall survival between groups. Regression analyses were implemented to identify factors associated with postoperative complications. Results: Any total and high-grade complication (Clavien-Dindo grade ≥3) rates were 57.8% and 21.1%, respectively. Patients in complication group had significantly higher proportion of diabetes mellitus (P = 0.048), chronic kidney disease (P = 0.011), dyslipidemia (P < 0.001), longer operation time (P = 0.001), more estimated blood loss (P = 0.001), and larger intraoperative fluid volume (P < 0.001). There was a significant difference in cancer-specific survival (log-rank P = 0.038, median cancer-specific survival: both groups not reached). Dyslipidemia (odds ratio 2.59, P = 0.002) and intraoperative fluid volume (odds ratio 1.0002, P = 0.040) were significantly associated with high-grade postoperative complications. Diabetes mellitus (odds ratio 1.97, P = 0.028), chronic kidney disease (odds ratio 1.89, P = 0.046), dyslipidemia (odds ratio 5.94, P = 0.007), and intraoperative fluid volume (odds ratio 1.0002, P = 0.009) were significantly associated with any postoperative complications. Conclusions: Patients with diabetes mellitus, chronic kidney disease, dyslipidemia, or a relatively large intraoperatively infused fluid volume are more likely to develop postoperative complications. Patients with postoperative complications might have a possibility of lower cancer-specific survival rate. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Blackwell Science Asia | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Cystectomy / adverse effects | - |
dc.subject.MESH | Factor Analysis, Statistical | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Postoperative Complications / epidemiology | - |
dc.subject.MESH | Postoperative Complications / etiology | - |
dc.subject.MESH | Postoperative Complications / surgery | - |
dc.subject.MESH | Renal Insufficiency, Chronic* / etiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical Procedures* / adverse effects | - |
dc.subject.MESH | Robotics* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Urinary Bladder Neoplasms* | - |
dc.title | Predicting factor analysis of postoperative complications after robot-assisted radical cystectomy: Multicenter KORARC database study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Hwanik Kim | - |
dc.contributor.googleauthor | Byong Chang Jeong | - |
dc.contributor.googleauthor | Sangchul Lee | - |
dc.contributor.googleauthor | Ja Hyeon Ku | - |
dc.contributor.googleauthor | Tae Gyun Kwon | - |
dc.contributor.googleauthor | Tae-Hwan Kim | - |
dc.contributor.googleauthor | Seung Hyun Jeon | - |
dc.contributor.googleauthor | Sang Hyub Lee | - |
dc.contributor.googleauthor | Jong Kil Nam | - |
dc.contributor.googleauthor | Wansuk Kim | - |
dc.contributor.googleauthor | Ji Youl Lee | - |
dc.contributor.googleauthor | Sung Hoo Hong | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Woong Kyu Han | - |
dc.contributor.googleauthor | Won Sik Ham | - |
dc.contributor.googleauthor | Young Goo Lee | - |
dc.contributor.googleauthor | Yong Seong Lee | - |
dc.contributor.googleauthor | Sung Yul Park | - |
dc.contributor.googleauthor | Young Eun Yoon | - |
dc.contributor.googleauthor | Sung Gu Kang | - |
dc.contributor.googleauthor | Seok Ho Kang | - |
dc.contributor.googleauthor | Jong Jin Oh | - |
dc.identifier.doi | 10.1111/iju.14815 | - |
dc.contributor.localId | A04308 | - |
dc.contributor.localId | A04337 | - |
dc.relation.journalcode | J01169 | - |
dc.identifier.eissn | 1442-2042 | - |
dc.identifier.pmid | 35137466 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/iju.14815 | - |
dc.subject.keyword | bladder cancer | - |
dc.subject.keyword | minimally invasive surgical procedures | - |
dc.subject.keyword | postoperative complications | - |
dc.subject.keyword | radical cystectomy | - |
dc.subject.keyword | robotic surgical procedures | - |
dc.contributor.alternativeName | Han, Woong Kyu | - |
dc.contributor.affiliatedAuthor | 한웅규 | - |
dc.contributor.affiliatedAuthor | 함원식 | - |
dc.citation.volume | 29 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 939 | - |
dc.citation.endPage | 946 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF UROLOGY, Vol.29(9) : 939-946, 2022-09 | - |
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