Open AccessExtraperitoneal cystectomy with ureterocutaneostomy derivation in fragile patients - should it be performed more often?
Author(s) -
Rafaela Malinaric,
Guglielmo Mantica,
Federica Balzarini,
Carlo Terrone,
Massimo Maffezzini
Publication year - 2022
Publication title -
archivio italiano di urologia andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.429
H-Index - 23
eISSN - 2282-4197
pISSN - 1124-3562
DOI - 10.4081/aiua.2022.2.144
Subject(s) - medicine , cystectomy , perioperative , bladder cancer , surgery , body mass index , complication , cohort , urinary diversion , hypoalbuminemia , retrospective cohort study , cancer
Radical cystectomy (RC) continues to be standard of care for muscle-invasive bladder cancer and recurrent or refractory nonmuscle invasive bladder cancer. Unfortunately, it has high rates of perioperative morbidity and mortality. One of the most important predictors of postoperative outcomes is frailty, while the majority of complications are diversion related. The aim of our study was to evaluate safety of extraperitoneal cystectomy with ureterocutaneostomy in patients considered as frail.