The Early Complications and their Risk Factors Following Radical Cystectomy and Orthotopic Diversion

doi:10.3969/j.issn.1001-9448.2017.03.014

Abstract：Objective To retrospectively review the risk factors associated with early complications following radi -cal cystectomy and orthotopic diversion .Methods The clinical data of 73 patients who had undergone orthotopic diver-sion from January 2014 to December 2015 in the Second Affiliated Hospital of Kunming Medical University were analyzed . According to the Postoperative Complication Grading System , in-hospital complications were retrospectively analyzed and subdivided into different grades and categories .Multivariate logistic regression was applied for correlation analysis .Results Among the 73 patients, 42 (57.5%) developed at least 1 postoperative complication .In the total of 77 of early compli-cations, 29 (37.7%) were minor complications, 44 (57.1%) were moderate complications and 4 (5.2%) were major complications.The most common complications were infection -related events, gastrointistinal events and urine leakage . According to the logistic regression analysis , the risk factors leading to postoperative complications were BMI score ( OR=1.574, P=0.002), blood loss (OR=1.050, P=0.027) and CCI score (OR=1.127,P=0.040).Conclusion The rate of severe and lethal complications following radical cystectomy and orthotopic diversion is acceptably low .The inci-dence of the early complications is correlated with BMI score , blood loss and CCI score .