Pelvic dimensions do not impact on complications and operative difficulty in radical cystoprostatectomy and orthotopic neobladder

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dc.authoridCüneyd Sevinç / 0000-0002-6321-5143
dc.authoridTahir Karadeniz / 0000-0002-2738-2788
dc.authorscopusidCüneyd Sevinç / 56915806300
dc.authorscopusidTahir Karadeniz / 8510371600
dc.authorwosidCüneyd Sevinç / AAG-1502-2021
dc.authorwosidTahir Karadeniz / FGH-4602-2022
dc.contributor.authorÖzkaptan, Orkunt
dc.contributor.authorBalaban, Muhsin
dc.contributor.authorSevinç, Cüneyd
dc.contributor.authorTopsakal, Medih
dc.contributor.authorKaradeniz, Tahir
dc.date.accessioned2020-08-30T20:06:40Z
dc.date.available2020-08-30T20:06:40Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKROUND: To evaluate the factors including pelvic dimensions, which might influence operative difficulty and complications after open radical cystoprostatectomy and orthotopic neobladder reconstruction in men. METHODS: A total of 198 RC patients operated in our institution with preoperative magnetic resonance (MRI) were analyzed were included in the study. Pelvic dimensions, including interspinous distance (ISD), bony femoral - (BFW) and soft tissue width (SW), apical prostate depth (AD), upper conjugate (UC), lower conjugate (LC) were measured by preoperative MRI. BFW, ISD, and SW indexes were defined as BFW/AD, ISD/AD, and SW/AD, respectively. Complicatons were classified according to the Clavien-Dindo classification system. As indicators of surgical difficulty; transfusion rate (TR), estimated blood loss (EBL), operative time (OT) and hospital stay (HS) were assessed. SPSS version 17.0 was used for statistical analyses. RESULTS: A total of 239 complications developed in 143 of the 198 patients (72.2%). Correlation analysis revealed a significant indirect relationship between TR and SW/AD (P=0.023). For EBL, there were significant indirect correlations between the SW/AD, BFW/AD and ISD/AD indexes (P=0.026, P=0.05, P=0.009; respectively). Additionally, OT was directly correlated body mass index (BMI) (P=0.001); and indirectly correlated with UC, SW/AD, and BFW/AD (P=0.047, P=0.038, P=0.016, respectively). On multivariate logistic regression analyses higher American Society of Anesthesiologist (ASA) score was associated with major complications. Multivariate analyses revealed that pathological stage was a significant predictor of EBL. CONCLUSIONS: Patients with smaller pelvises might undergo more difficult surgeries. However, it seems that small sized pelvis does not impact on operative difficulty and complication rate in radical cystoprostatectomy and orthotopic neobladder.en_US
dc.identifier.citationOzkaptan, O., Balaban, M., Sevinc, C., Topsakal, M., & Karadeniz, T. (2019). Pelvic dimensions do not impact on complications and operative difficulty in radical cystoprostatectomy and orthotopic neobladder. MINERVA UROLOGICA E NEFROLOGICA, 71(4), 386–394. https://doi.org/10.23736/S0393-2249.19.03195-3en_US
dc.identifier.doi10.23736/S0393-2249.19.03195-3en_US
dc.identifier.endpage394en_US
dc.identifier.issn0393-2249en_US
dc.identifier.issn1827-1758en_US
dc.identifier.issue4en_US
dc.identifier.pmid31086130en_US
dc.identifier.startpage386en_US
dc.identifier.urihttps://doi.org/10.23736/S0393-2249.19.03195-3
dc.identifier.urihttps://hdl.handle.net/20.500.12713/587
dc.identifier.volume71en_US
dc.identifier.wosWOS:000477976400009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorSevinç, Cüneyden_US
dc.institutionauthorKaradeniz, Tahiren_US
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofMinerva Urologica E Nefrologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPelvisen_US
dc.subjectPostoperative Complicationen_US
dc.subjectProstatectomyen_US
dc.titlePelvic dimensions do not impact on complications and operative difficulty in radical cystoprostatectomy and orthotopic neobladderen_US
dc.typeArticleen_US

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