A total of 489 patients undergoing radical cystectomy and pelvic lymph node dissection for urinary bladder cancer between 2009 and 2017 were included in the analysis. All complications occurring within 30 days of the procedure were analyzed. Most of the complications were Clavien Dindo Grade 2. A total of 22.2% of the complications involved the genitourinary system, 20.6% involved the gastrointestinal system, 18.7% were infectious complications, 17.6% were defined as miscellaneous, 7.6% were related to bleeding, 5.3% were cardiac complications, 3.9% were wound related and 1.9% were pulmonary complications. Elaborate details of all complications were presented in the poster using the CCI.
The authors concluded that short term morbidity following radical cystectomy is notably higher than anticipated. There is an urgent need for a universal consensus on procedure-specific definitions of adverse events through usage of expert panels. The implementation of the CCI prevents under-staging of all perioperative complications and may improve comparability across various centers. It may also serve as a basis for defining benchmarks after radical cystectomy for bladder urothelial carcinoma.
Presented by: Malte W. Vetterlein, Hamburg, Germany
Written By: Hanan Goldberg, MD, Urologic Oncology Fellow (SUO), University of Toronto, Princess Margaret Cancer Centre Twitter: @GoldbergHanan at the 38th Congress of the Society of International Urology - October 4- 7, 2018 - Seoul, South Korea