COMPARISON OF EXTRAPERITONEAL AND TRANSPERITONEAL RADICAL CYSTOPROSTATECTOMY IN TERMS OF FIRST 30 DAYS OUTCOMES

Authors

  • Mudassar Sajjad Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
  • Qamar Zia *Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan
  • Haroon Sabir Pakistan Naval Ship Shifa Hospital, Karachi Pakistan
  • Faran Kiani Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Nawaz Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sohail Razzaq Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
  • Bilal Habib Pakistan Institute of Medical Sciences, Islamabad Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i4.4136

Keywords:

Bladder, Bladder neoplasm, Cystectomy, Cysto-prostatectomy, Ileal conduits, Ureterostomy, Urinary diversion

Abstract

Objective: To compare the first 30-day outcomes of Trans-peritoneal and Extra-peritoneal Radical cysto-prostatectomy.

Study Design: Quasi-experimental study.

Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi, from Mar 2015 to Mar 2019.
Methodology: A total of 100 patients who underwent Radical cystoprostatectomy were observed in two groups either by extra or trans-peritoneal approach. Patients diagnosed with carcinoma urinary bladder (both muscle and non-muscle invasive) vetted through multidisciplinary meeting, with or without neo-adjuvant chemotherapy were included. Patients undergoing salvage cystectomy or any previous open abdomino-pelvic surgery were excluded. The standard techniques were used for both approaches. Variables under study were recorded for first 30-day-followup period.

Results: The mean age was 59.9 ± 7.231 years (range=34-80). In extra-peritoneal group the mean duration of surgery was 5.6 ± 1.16 hours comparing to 7.2 ± 1.34 hours in the trans-peritoneal group. Statistically significant trend was also noted in the favour of extra-peritoneal group for stay in Intensive care in post-operative period (3.00 ± 1.19 days/4.77 ± 1.20, p<0.001) as well total stay in the hospital (6.06 ± 2.8 days/ 11.74 ± 4.17, p<0.001). Overall comparison of total number of complications as per Clavien-Dindo system in both groups was insignificant (p=0.136), however a significant trend in favour of extraperitoneal group was noted with respect to major wound dehiscence as well rate of blood transfusion (p<0.001).

Conclusion: Extra-peritoneal approach showed a favourable trend in terms of operative time and early recovery after radical cysto-prostatectomy.

Downloads

Download data is not yet available.

Author Biography

  • Qamar Zia, *Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) Pakistan

    MBBS, MRCS (Ed), FCPS (Pak), FRCS (Eng), FRCS ( Urol)

    Leutenant Colonel and Assistant professor of Urology

    Combined Military Hospital Lahore

     

Downloads

Published

26-08-2021

Issue

Section

Original Articles

How to Cite

1.
Sajjad M, Zia Q, Sabir H, Kiani F, Nawaz M, Razzaq S, et al. COMPARISON OF EXTRAPERITONEAL AND TRANSPERITONEAL RADICAL CYSTOPROSTATECTOMY IN TERMS OF FIRST 30 DAYS OUTCOMES. Pak Armed Forces Med J [Internet]. 2021 Aug. 26 [cited 2024 Jun. 14];71(4):1282-87. Available from: https://pafmj.org/PAFMJ/article/view/4136