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SCIENTIFIC-PRACTICAL PEER-REVIEWED MONTHLY JOURNAL.
INSTITUTION OF MINISTRY OF PUBLIC HEALTH OF THE REPUBLIC OF BELARUS

RADICAL CYSTECTOMY COMPLICATIONS

Radical cystectomy (RC) is one of the most complex and traumatic surgical procedures in urologic oncology. Early RC complication and mortality rates are 30—70% and 3—11% respectively. Some predictors of RC complications development and mortality probability were found (body mass index, patient's age, disease stage, Charlson comorbidity index, etc.). Researchers developed several prognostic models of mortality after RC with sensitivity ranging from 70 to 78%. However, currently there is no precise and versatile prediction tool for 90-day post-RC mortality and severe complications based on preoperative data including comorbidities presence. Centralization of surgical care and super specialization of surgeons were the only effective measures in reducing of post-RC complications rate and mortality. Functional results of less invasive (laparoscopic and robotic) RCs are equivalent to the open procedures outcomes. Efficiency studies of Enhanced Recovery after Surgery Protocol (ERAS) and methods of systematic outcome control for RC are currently on the way.