Academic Journal
Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny?
| Title: | Respiratory Complications after Cystectomy with Urinary Diversion: Avoidable Complications or Ineluctable Destiny? |
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| Authors: | Silvia Martinez Carrique, François Crettenand, Kevin Stritt, Perrine Bohner, Nuno Grilo, Sonia Rodrigues-Dias, Beat Roth, Ilaria Lucca |
| Source: | Journal of Clinical Medicine, Vol 13, Iss 6, p 1585 (2024) |
| Publisher Information: | MDPI AG |
| Publication Year: | 2024 |
| Collection: | Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: | cystectomy, ERAS ®, respiratory complications, Medicine |
| Description: | Background: Cystectomy with urinary diversion (CUD) is a highly morbid surgery. Despite implementing an enhanced recovery after surgery (ERAS ® ) protocol, postoperative respiratory complications (PRC) within 30 days after surgery remain frequent. This study aims to identify patients at higher risk of developing PRC after CUD. Methods: We conducted a retrospective analysis of 242 patients who underwent CUD at Lausanne University Hospital from 2012 to 2022, adhering to ERAS ® guidelines. Data on postoperative complications, including pneumonia, respiratory failure, pulmonary embolism, lobar atelectasis, and pleural effusion, were analyzed. Chi-square and Mann–Whitney U tests compared patients with and without PRC. A multivariable Cox model identified independent prognostic factors. Results: PRC occurred in 41 patients (17%). Those with PRC experienced longer hospital stays and higher 30-day mortality rates. Poor ERAS ® compliance was a significant risk factor. Multivariable analysis showed pneumonia was associated with postoperative ileus, while pulmonary embolism correlated with infectious and cardiovascular complications. Conclusions: PRC result in extended hospitalization and decreased survival. Rigorous adherence to ERAS ® protocols, including early mobilization, respiratory physiotherapy, and avoiding nasogastric tubes, is essential for preventing PRC. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | https://www.mdpi.com/2077-0383/13/6/1585; https://doaj.org/toc/2077-0383; https://doaj.org/article/448687b5385d4c0a922c1fed6cb9769f |
| DOI: | 10.3390/jcm13061585 |
| Availability: | https://doi.org/10.3390/jcm13061585 https://doaj.org/article/448687b5385d4c0a922c1fed6cb9769f |
| Accession Number: | edsbas.F64511D7 |
| Database: | BASE |
| DOI: | 10.3390/jcm13061585 |
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