Reporting and grading of complications for intracorporeal robot-assisted radical cystectomy: an in-depth short-term morbidity assessment using the novel Comprehensive Complication Index


Journal

World journal of urology
ISSN: 1433-8726
Titre abrégé: World J Urol
Pays: Germany
ID NLM: 8307716

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 04 01 2022
accepted: 09 05 2022
pubmed: 8 6 2022
medline: 30 6 2022
entrez: 7 6 2022
Statut: ppublish

Résumé

To assess suitability of Comprehensive Complication Index (CCI A total of 128 patients with bladder cancer (BCa) undergoing intracorporeal RARC with pelvic lymph node dissection between 2015 and 2021 were included in a retrospective bi-institutional study, which adhered to standardized reporting criteria. Thirty-day complications were captured according to a procedure-specific catalog. Each complication was graded by the CDC and the CCI 381 complications were identified in 118 patients (92%). 55 (43%), 43 (34%), and 20 (16%) suffered from CDC grade I-II, IIIa, and ≥ IIIb complications, respectively. 16 (13%), 27 (21%), and 2 patients (1.6%) were reoperated, readmitted, and died within 30 days, respectively. 31 patients (24%) were upgraded to most severe complication (CCI The CCI

Identifiants

pubmed: 35670880
doi: 10.1007/s00345-022-04051-x
pii: 10.1007/s00345-022-04051-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1679-1688

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Chang SS, Bochner BH, Chou R, Dreicer R, Kamat AM, Lerner SP et al (2017) Treatment of non-metastatic muscle-invasive bladder cancer: AUA/ASCO/ASTRO/SUO guideline. J Urol 198:552–559
doi: 10.1016/j.juro.2017.04.086
Mortezavi A, Crippa A, Edeling S, Pokupic S, Dell’Oglio P, Montorsi F et al (2021) Morbidity and mortality after robot-assisted radical cystectomy with intracorporeal urinary diversion in octogenarians: results from the European Association of Urology Robotic Urology Section Scientific Working Group. BJU Int 127:585–595
doi: 10.1111/bju.15274
Williams SB, Kamat AM, Chamie K, Froehner M, Wirth MP, Wiklund PN et al (2018) Systematic review of comorbidity and competing-risks assessments for bladder cancer patients. Eur Urol Oncol 1:91–100
doi: 10.1016/j.euo.2018.03.005
Parekh DJ, Reis IM, Castle EP, Gonzalgo ML, Woods ME, Svatek RS et al (2018) Robot-assisted radical cystectomy versus open radical cystectomy in patients with bladder cancer (RAZOR): an open-label, randomised, phase 3, non-inferiority trial. The Lancet 391:2525–2536
doi: 10.1016/S0140-6736(18)30996-6
Satkunasivam R, Tallman CT, Taylor JM, Miles BJ, Klaassen Z, Wallis CJD (2019) Robot-assisted radical cystectomy versus open radical cystectomy: a meta-analysis of oncologic, perioperative, and complication-related outcomes. Eur Urol Oncol 2:443–447
doi: 10.1016/j.euo.2018.10.008
Wijburg CJ, Michels CTJ, Hannink G, Grutters JPC, Rovers MM, Alfred WJ (2021) Robot-assisted radical cystectomy versus open radical cystectomy in bladder cancer patients: a multicentre comparative effectiveness study. Eur Urol 79:609–618
doi: 10.1016/j.eururo.2020.12.023
Khan MS, Omar K, Ahmed K, Gan C, Van Hemelrijck M, Nair R et al (2020) Long-term oncological outcomes from an early phase randomised controlled three-arm trial of open, robotic, and laparoscopic radical cystectomy (CORAL). Eur Urol 77:110–118
doi: 10.1016/j.eururo.2019.10.027
Baron P, Khene Z, Lannes F, Pignot G, Bajeot AS, Ploussard G et al (2021) Multicenter external validation of the radical cystectomy pentafecta in a European cohort of patients undergoing robot-assisted radical cystectomy with intracorporeal urinary diversion for bladder cancer. World J Urol 39:4335–4344
doi: 10.1007/s00345-021-03753-y
Aldhaam NA, Elsayed AS, Jing Z, Richstone L, Wagner AA, Rha KH et al (2020) Neoadjuvant chemotherapy is not associated with adverse perioperative outcomes after robot-assisted radical cystectomy: a case for increased use from the IRCC. J Urol 203:57–61
doi: 10.1097/JU.0000000000000445
Mitropoulos D, Artibani W, Graefen M, Remzi M, Roupret M, Truss M (2012) Reporting and grading of complications after urologic surgical procedures: an ad hoc EAU guidelines panel assessment and recommendations. Eur Urol 61:341–349
doi: 10.1016/j.eururo.2011.10.033
Dell’Oglio P, Andras I, Ortega D, Galfano A, Artibani W, Autorino R et al (2021) Impact of the implementation of the EAU guidelines recommendation on reporting and grading of complications in patients undergoing robot-assisted radical cystectomy: a systematic review. Eur Urol 80:129–133
doi: 10.1016/j.eururo.2021.04.030
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213
pubmed: 15273542 pmcid: 1360123
Mitropoulos D, Artibani W, Biyani CS, Bjerggaard Jensen J, Roupret M, Truss M (2018) Validation of the Clavien-Dindo grading system in urology by the European association of urology guidelines Ad Hoc panel. Eur Urol Focus 4:608–613
doi: 10.1016/j.euf.2017.02.014
Vetterlein MW, Klemm J, Gild P, Bradtke M, Soave A, Dahlem R et al (2020) Improving estimates of perioperative morbidity after radical cystectomy using the European association of urology quality criteria for standardized reporting and introducing the comprehensive complication index. Eur Urol 77:55–65
doi: 10.1016/j.eururo.2019.08.011
Cacciamani GE, Medina L, Lin-Brande M, Tafuri A, Lee RS, Ghodoussipour S et al (2021) Timing, patterns and predictors of 90-day readmission rate after robotic radical cystectomy. J Urol 205:491–499
doi: 10.1097/JU.0000000000001387
Slankamenac K, Graf R, Barkun J, Puhan MA, Clavien PA (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258:1–7
doi: 10.1097/SLA.0b013e318296c732
Furrer MA, Huesler J, Fellmann A, Burkhard FC, Thalmann GN, Wuethrich PY (2019) The comprehensive complication index CCI: a proposed modification to optimize short-term complication reporting after cystectomy and urinary diversion. Urol Oncol 37(291):e9–e18
Kowalewski KF, Muller D, Muhlbauer J, Hendrie JD, Worst TS, Wessels F et al (2020) The comprehensive complication index (CCI): proposal of a new reporting standard for complications in major urological surgery. World J Urol 39(5):1631–1639
doi: 10.1007/s00345-020-03356-z
Pieretti A, Krasnow R, Drumm M, Gusev A, Dahl DM, McGovern F et al (2021) Complications and outcomes of salvage cystectomy after trimodality therapy. J Urol 206:29–36
doi: 10.1097/JU.0000000000001696
Cerantola Y, Valerio M, Persson B, Jichlinski P, Ljungqvist O, Hubner M et al (2013) Guidelines for perioperative care after radical cystectomy for bladder cancer: enhanced recovery after surgery (ERAS(
doi: 10.1016/j.clnu.2013.09.014
Albisinni S, Moschini M, Di Trapani E, Soria F, Mari A, Aziz A et al (2021) Current application of the enhanced recovery after surgery protocol for patients undergoing radical cystectomy: lessons learned from European excellence centers. World J Urol. https://doi.org/10.1007/s00345-021-03746-x
doi: 10.1007/s00345-021-03746-x pubmed: 34076754 pmcid: 7776309
Koppie TM, Serio AM, Vickers AJ, Vora K, Dalbagni G, Donat SM et al (2008) Age-adjusted Charlson comorbidity score is associated with treatment decisions and clinical outcomes for patients undergoing radical cystectomy for bladder cancer. Cancer 112:2384–2392
doi: 10.1002/cncr.23462
Han J, Aron M (2020) Refractory lymphatic ascites after radical prostatectomy. Urology 145:9–10
doi: 10.1016/j.urology.2020.07.030
Damani T, James L, Fisher JC, Shah PC (2021) Incidence of acute postoperative robotic port-site hernias: results from a high-volume multispecialty center. J Robot Surg 15:457–463
doi: 10.1007/s11701-020-01128-w
Pridgeon S, Bishop CV, Adshead J (2013) Lower limb compartment syndrome as a complication of robot-assisted radical prostatectomy: the UK experience. BJU Int 112:485–488
doi: 10.1111/bju.12201
Alemzadeh H, Raman J, Leveson N, Kalbarczyk Z, Iyer RK (2016) Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. PLoS ONE 11:e0151470
doi: 10.1371/journal.pone.0151470
Kouba E, Sands M, Lentz A, Wallen E, Pruthi RS (2007) Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer. J Urol 178:950–954
doi: 10.1016/j.juro.2007.05.028
Beano H, He J, Hensel C, Worrilow W, Townsend W, Gaston K et al (2021) Safety of decreasing ureteral stent duration following radical cystectomy. World J Urol 39:473–479
doi: 10.1007/s00345-020-03191-2
Donat SM, Tan KS, Jibara G, Dalbagni G, Carlon VA, Sandhu J (2021) Intraoperative Ureteral stent use at radical cystectomy is associated with higher 30-day complication rates. J Urol 205:483–490
doi: 10.1097/JU.0000000000001329
Reesink DJ, Gerritsen SL, Kelder H, van Melick HHE, Stijns PEF (2021) Evaluation of ureteroenteric anastomotic strictures after the introduction of robot-assisted radical cystectomy with intracorporeal urinary diversion: results from a large tertiary referral center. J Urol 205:1119–1125
doi: 10.1097/JU.0000000000001518

Auteurs

Mikolaj Mendrek (M)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany. mikolaj.mendrek@gmail.com.

Jorn H Witt (JH)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Sergey Sarychev (S)

Department of Urology, Kantonsspital Frauenfeld, Spital Thurgau AG, Frauenfeld, Switzerland.

Nikolaos Liakos (N)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Mustapha Addali (M)

Department of Urology, Kreisklinikum Siegen, Germany.

Christian Wagner (C)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Theodoros Karagiotis (T)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Andreas Schuette (A)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

Armin Soave (A)

Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Margit Fisch (M)

Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Julian Reinisch (J)

Department of Urology, Kantonsspital Frauenfeld, Spital Thurgau AG, Frauenfeld, Switzerland.

Thomas Herrmann (T)

Department of Urology, Kantonsspital Frauenfeld, Spital Thurgau AG, Frauenfeld, Switzerland.
Department of Urology, Stellenbosch University, Western Cape, South Africa.
Hannover Medical School MHH, Hannover, Germany.

Malte W Vetterlein (MW)

Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Sami-Ramzi Leyh-Bannurah (SR)

Prostate Center Northwest, Department of Urology, Pediatric Urology and Uro-Oncology, St. Antonius-Hospital, Gronau, Germany.

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