Analysis of Perioperative Complications Following Radical Cystectomy – Our Experience in a South Indian Tertiary Urology Centre

Abstract

Introduction: Bladder cancer is one of the common urological malignancy. The aim of this study was to analyze perioperative complications and mortality in our institute following radical cystectomy and urinary diversion. Material and methods: Thirty four patients presented with muscle invasive bladder cancer for radical cystectomy to urology department between August 2009 and December 2011 was included in the study. Results: Patients mean age was 56.9 Years. There was higher percentage of Male patients compared to Female patients with ratio of 4.6:1 and most of the patients had ASA score <= 2.0. Mean operating time and length of hospital stay was 4.2 hours and 10.2 days respectively. Perioperative complications was observed in 32.35% of patient cohort and perioperative mortality rate of 2.94%. The most frequent complications were ileus (6 patients) followed by wound infection / wound dehiscence (4 patients). No preoperative factors predicted complications were found except for age. Conclusion: In our study, age was the only preoperative factors predicted complication and mortality rate. With proper selection of patients, and preoperative evaluation, surgical technique and better postoperative care, Radical cystectomy with urinary diversion can be safely done in selected patients with acceptable morbidity and mortality.