Perioperative outcomes in male patients undergoing cystectomy, radical colorectal procedure or total pelvic exenteration

Total pelvic exenteration (TPE) in men is a surgical procedure to treat genitourinary and colorectal malignancies. Despite improvement in multimodal strategies and technology, mortality is still high and literature is limited about perioperative outcomes comparison to other radical procedures. We an...

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Published in:Translational andrology and urology 2023-11, Vol.12 (11), p.1631-1637
Main Authors: Naha, Ushasi, Khurshudyan, Artyom, Vigneswaran, Hari T, Mima, Mahmoud, Abern, Michael R, Moreira, Daniel M
Format: Article
Language:English
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Summary:Total pelvic exenteration (TPE) in men is a surgical procedure to treat genitourinary and colorectal malignancies. Despite improvement in multimodal strategies and technology, mortality is still high and literature is limited about perioperative outcomes comparison to other radical procedures. We analyzed National Surgical Quality Improvement Program (NSQIP) baseline database of all male patients undergoing cystectomy, low anterior resection/abdominoperineal resection (LAR/APR) or TPE from January 1, 2005 to December 31, 2016. Postoperative complications within 30 days after surgery were measured including: Wound infection, septic complications, deep vein thrombosis, cardiovascular events, and return to the operating room or mortality, etc. Differences between groups were analyzed using analysis of variance (ANOVA) tests. A total of 7,375 patients underwent radical cystectomy, 49,762 underwent LAR/APR and 792 underwent TPE. Cystectomy patients were on average older compared to TPE or LAR/APR patients (P
ISSN:2223-4691
2223-4683
2223-4691
DOI:10.21037/tau-23-266