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Analysis of Complications After Robot Assisted Radical Cystectomy Between 2002-2021
DC Field | Value | Language |
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dc.contributor.author | 나군호 | - |
dc.date.accessioned | 2024-05-30T07:15:17Z | - |
dc.date.available | 2024-05-30T07:15:17Z | - |
dc.date.issued | 2023-01 | - |
dc.identifier.issn | 0090-4295 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/199673 | - |
dc.description.abstract | OBJECTIVE To identify trends in complications following robot-assisted radical cystectomy (RARC) using a METHODS A retrospective review of the IRCC database was performed (2976 patients, 26 institutions from 11 countries). Postoperative complications were categorized as overall or high grade (& GE; Clavien Dindo III) and were further categorized based on type/organ site. Descriptive statistics was used to summarize the data. Multivariate analysis (MVA) was used to identify variables associated with overall and high-grade complications. Cochran-Armitage trend test was used to describe the trend of complications over time. RESULTS 1777 (60%) patients developed postoperative complications following RARC, 51% of complications occurred within 30 days of RARC, 19% between 30-90 days, and 30% after 90 days. 835 patients (28%) experienced high-grade complications. Infectious complications (25%) were the most prevalent, while bleeding (1%) was the least. The incidence of complications was stable between 2002-2021. Gastrointestinal and neurologic postoperative complications increased significantly (P < .01, for both) between 2005 and 2020 while thromboembolic (P = .03) and wound complications (P < .01) decreased. On MVA, BMI (OR 1.03, 95%CI 1.01-1.05, P < .01), prior abdominal surgery (OR 1.26, 95%CI 1.03-1.56, P = .03), receipt of neobladder (OR 1.52, 95%CI 1.17-1.99, P < .01), positive nodal disease (OR 1.33, 95%CI 1.05-1.70, P = .02), length of inpatient stay (OR 1.04, 95%CI 1.02-1.05, P < .01) and ICU admission (OR 1.67, 95%CI 1.36-2.06, P < .01) were associated with high-grade complications. CONCLUSION Overall and high-grade complications after RARC remained stable between 2002-2021. GI and neurologic complications increased, while thromboembolic and wound complications decreased. UROLOGY 171: 133-139, 2023. Published by Elsevier Inc. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier Science | - |
dc.relation.isPartOf | UROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Cystectomy / adverse effects | - |
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 | Retrospective Studies | - |
dc.subject.MESH | Robotic Surgical | - |
dc.subject.MESH | Procedures* / adverse effects | - |
dc.subject.MESH | Robotics* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Urinary Bladder Neoplasms* / complications | - |
dc.title | Analysis of Complications After Robot Assisted Radical Cystectomy Between 2002-2021 | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨의학교실) | - |
dc.contributor.googleauthor | Holly Ann Houenstein | - |
dc.contributor.googleauthor | Zhe Jing | - |
dc.contributor.googleauthor | Ahmed S Elsayed | - |
dc.contributor.googleauthor | Yousuf O Ramahi | - |
dc.contributor.googleauthor | Michael Stöckle | - |
dc.contributor.googleauthor | Carl Wijburg | - |
dc.contributor.googleauthor | Abolfazl Hosseini | - |
dc.contributor.googleauthor | Peter Wiklund | - |
dc.contributor.googleauthor | Eric Kim | - |
dc.contributor.googleauthor | Jihad Kaouk | - |
dc.contributor.googleauthor | Prokar Dasgupta | - |
dc.contributor.googleauthor | Mohammed S Khan | - |
dc.contributor.googleauthor | Andrew A Wagner | - |
dc.contributor.googleauthor | Johar R Syed | - |
dc.contributor.googleauthor | James O Peabody | - |
dc.contributor.googleauthor | Ketan Badani | - |
dc.contributor.googleauthor | Lee Richstone | - |
dc.contributor.googleauthor | Alexandre Mottrie | - |
dc.contributor.googleauthor | Thomas J Maatman | - |
dc.contributor.googleauthor | Derya Balbay | - |
dc.contributor.googleauthor | Juan P Redorta | - |
dc.contributor.googleauthor | Koon Ho Rha | - |
dc.contributor.googleauthor | Franco Gaboardi | - |
dc.contributor.googleauthor | Morgan Rouprêt | - |
dc.contributor.googleauthor | Ahmed Aboumohamed | - |
dc.contributor.googleauthor | Ahmed A Hussein | - |
dc.contributor.googleauthor | Khurshid A Guru | - |
dc.identifier.doi | 10.1016/j.urology.2022.08.049 | - |
dc.contributor.localId | A01227 | - |
dc.relation.journalcode | J02775 | - |
dc.identifier.eissn | 1527-9995 | - |
dc.identifier.pmid | 36241062 | - |
dc.identifier.url | https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(22)00832-9 | - |
dc.contributor.alternativeName | Rha, Koon Ho | - |
dc.contributor.affiliatedAuthor | 나군호 | - |
dc.citation.volume | 171 | - |
dc.citation.startPage | 133 | - |
dc.citation.endPage | 139 | - |
dc.identifier.bibliographicCitation | UROLOGY, Vol.171 : 133-139, 2023-01 | - |
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