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Information Journal Paper

Title

Extra-Peritoneal versus Trans-Peritoneal Open Radical Cystectomy-Comparison of Two Techniques in Early Post-Operative Complications

Pages

  519-524

Abstract

 Purpose: The conventional Trans-Peritoneal Radical cystectomy (TPRC) harbors numerous postoperative complications, the most prevalent of which are Gastrointestinal (GI) problems. To reduce these morbidities we introduced our own version of extra-peritoneal approach and compared it with the conventional method. Materials and Methods: In a cross-sectional observational retrospective design, eligible bladder cancer patients whom underwent Extra-Peritoneal Radical cystectomy (EPRC) or TPRC in our center, were considered for this study and were compared for early post-operative complications. Results: Ninety-nine patients in TPRC and 81 in EPRC were compared. The two techniques differed in their mean operation time (298. 2 ± 37. 8 min TPRC vs. 262. 8 ± 37. 2 min EPRC, P: 0. 001). Early GI complications were lower in EPRC groups, including oral intake intolerance ( 21 vs. 8, P: 0. 04), ileus (19 vs. 8, P: 0. 04), intestinal obstruction (3 vs. 0, P: 0. 04), and anastomosis leakage (8 vs. 1, P: 0. 01). Urine leak (14 vs. 7, P: 0. 02) and wound related complications (19 vs. 6, P: 0. 02) also favored EPRC group. Conclusion: The extra-peritoneal technique is beneficial in reducing postoperative morbidity, especially the more prevalent GI complications. This approach is functionally safe and allows preservation of the peritoneal integrity.

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    APA: Copy

    SOLEIMANI, MOHAMMAD, Moradkhani, Ehsan, MASOUMI, NAVID, & Gholivandan, Jafar. (2021). Extra-Peritoneal versus Trans-Peritoneal Open Radical Cystectomy-Comparison of Two Techniques in Early Post-Operative Complications. UROLOGY JOURNAL, 18(5), 519-524. SID. https://sid.ir/paper/990665/en

    Vancouver: Copy

    SOLEIMANI MOHAMMAD, Moradkhani Ehsan, MASOUMI NAVID, Gholivandan Jafar. Extra-Peritoneal versus Trans-Peritoneal Open Radical Cystectomy-Comparison of Two Techniques in Early Post-Operative Complications. UROLOGY JOURNAL[Internet]. 2021;18(5):519-524. Available from: https://sid.ir/paper/990665/en

    IEEE: Copy

    MOHAMMAD SOLEIMANI, Ehsan Moradkhani, NAVID MASOUMI, and Jafar Gholivandan, “Extra-Peritoneal versus Trans-Peritoneal Open Radical Cystectomy-Comparison of Two Techniques in Early Post-Operative Complications,” UROLOGY JOURNAL, vol. 18, no. 5, pp. 519–524, 2021, [Online]. Available: https://sid.ir/paper/990665/en

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