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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 | Kim, Hwanik | - |
dc.contributor.author | Jeong, Byong Chang | - |
dc.contributor.author | Lee, Sangchul | - |
dc.contributor.author | Ku, Ja Hyeon | - |
dc.contributor.author | Kwon, Tae Gyun | - |
dc.contributor.author | Kim, Tae‑Hwan | - |
dc.contributor.author | Jeon, Seung Hyun | - |
dc.contributor.author | Lee, Sang Hyub | - |
dc.contributor.author | Nam, Jong Kil | - |
dc.contributor.author | Kim, Wansuk | - |
dc.contributor.author | Lee, Ji Youl | - |
dc.contributor.author | Hong, Sung Hoo | - |
dc.contributor.author | Rha, Koon Ho | - |
dc.contributor.author | Han, Woong Kyu | - |
dc.contributor.author | Ham, Won Sik | - |
dc.contributor.author | Lee, Young Goo | - |
dc.contributor.author | Lee, Yong Seong | - |
dc.contributor.author | Park, Sung Yul | - |
dc.contributor.author | Yoon, Young Eun | - |
dc.contributor.author | Kang, Sung Gu | - |
dc.contributor.author | Kang, Seok Ho | - |
dc.contributor.author | Oh, Jong Jin | - |
dc.date.accessioned | 2022-10-17T04:16:59Z | - |
dc.date.available | 2022-10-17T04:16:59Z | - |
dc.date.created | 2022-10-13 | - |
dc.date.issued | 2022-09 | - |
dc.identifier.citation | International Journal of Urology, Vol.29 No.9, pp.939-946 | - |
dc.identifier.issn | 0919-8172 | - |
dc.identifier.uri | https://hdl.handle.net/10371/186165 | - |
dc.description.abstract | © 2022 The Japanese Urological Association.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.language | 영어 | - |
dc.publisher | John Wiley and Sons Inc | - |
dc.title | Predicting factor analysis of postoperative complications after robot-assisted radical cystectomy: Multicenter KORARC database study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/iju.14815 | - |
dc.citation.journaltitle | International Journal of Urology | - |
dc.identifier.wosid | 000752555700001 | - |
dc.identifier.scopusid | 2-s2.0-85124820995 | - |
dc.citation.endpage | 946 | - |
dc.citation.number | 9 | - |
dc.citation.startpage | 939 | - |
dc.citation.volume | 29 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Oh, Jong Jin | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
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