MP37-19 IMPACT OF PRIOR PELVIC RADIATION ON COMPLICATIONS AFTER ROBOTIC ASSISTED RADICAL CYSTECTOMY (2014)

You have accessJournal of UrologyTechnology & Instruments: Robotics - Benign & Malignant Disease1 Apr 2014MP37-19 IMPACT OF PRIOR PELVIC RADIATION ON COMPLICATIONS AFTER ROBOTIC ASSISTED RADICAL CYSTECTOMY Brandon Otto, E. Charles Osterberg, Bashir J Al Hussein Al Awamlh, David Green, Shahrokh Shariat, and Douglas Scherr Brandon OttoBrandon Otto More articles by this author , E. Charles OsterbergE. Charles Osterberg More articles by this author , Bashir J Al Hussein Al AwamlhBashir J Al Hussein Al Awamlh More articles by this author , David GreenDavid Green More articles by this author , Shahrokh ShariatShahrokh Shariat More articles by this author , and Douglas ScherrDouglas Scherr More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1256AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic assisted radical cystectomy (RARC) is a minimally invasive option partly due to its lower complication rates. It is not known whether prior pelvic radiation (XRT) makes RARC more difficult, possibly leading to increased morbidity. We aimed to describe the complication profile of RARC in patients with prior XRT. METHODS 252 patients undergoing RARC at our institution between 2006-2012 were consecutively enrolled. Patients were divided into two groups: prior pelvic XRT (n=47) and none (n=205). Demographic, peri-operative, and complication data were retrospectively analyzed. Complications were recorded using the modified Clavien complication system. RESULTS The indication for RARC in those with prior XRT was bladder cancer in 32, radiation cystitis in 9, and fistula in 6. Overall, patients with prior XRT were older (mean age 73.8 vs 70.3, p=0.04), but had similar American Society of Anesthesiologist scores and body mass index. There were no differences in surgery time, blood loss, intra-operative transfusion rates, type of diversion or length of stay. (Table 1) When RARC was done for oncologic reasons, there were no differences in lymph node yield or organ confined disease. (Table 1) 30 and 90 day complication rates were similar between those with prior XRT and those without (61.7% vs 60.5% and 63.8% vs 64.9% respectively). In addition, there was no difference in major complication (grade 3-5) rates between the two groups at 30 and 90 days (17% vs 15.6% and 23.4% vs 20% respectively). (Table 2) There was no difference in the types of complications in those with prior XRT and those without. (Table 3) CONCLUSIONS Prior pelvic radiation has minimal impact on the morbidity of RARC. There was no increase in the rate, grade, or type of complications in patients undergoing RARC with a history of pelvic XRT. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e399-e400 Advertisement Copyright & Permissions© 2014Metrics Author Information Brandon Otto More articles by this author E. Charles Osterberg More articles by this author Bashir J Al Hussein Al Awamlh More articles by this author David Green More articles by this author Shahrokh Shariat More articles by this author Douglas Scherr More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...