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. 2019 Oct 7;16(4):863-870.
doi: 10.5114/aoms.2019.88430. eCollection 2020.

Prediction of the risk of surgical complications in patients undergoing monopolar transurethral resection of bladder tumour - a prospective multicentre observational study

Sławomir Poletajew  1 , Wojciech Krajewski  2 , Dominika Gajewska  3 , Joanna Sondka-Migdalska  4 , Michał Borowik  5 , Paweł Buraczyński  6 , Mateusz Dzięgała  2 , Marcin Łykowski  1 , Maciej Przudzik  5 , Andrzej Tukiendorf  7 , Rafał Woźniak  8 , Krzysztof Bar  6 , Zbigniew Jabłonowski  4 , Marek Roslan  5 , Marcin Słojewski  3 , Romuald Zdrojowy  2 , Piotr Radziszewski  1 , Konrad Dziobek  9
Affiliations

Prediction of the risk of surgical complications in patients undergoing monopolar transurethral resection of bladder tumour - a prospective multicentre observational study

Sławomir Poletajew et al. Arch Med Sci. .

Abstract

Introduction: The aim of the study was to identify predictors of surgical complications of transurethral resection of bladder tumour (TURBT).

Material and methods: We prospectively recruited 983 consecutive patients undergoing TURBT within 7 months in six academic institutions. All patients were followed up from the surgery up to 30 days postoperatively with at least one telephone contact at the end of the observation. The primary study endpoint was any intra- or postoperative surgical complication. For the identification of predictors of complications, univariate and multivariate logistic regression models were used. Trial registration: ClinicalTrials.gov (NCT03029663). Registered 24 January 2017.

Results: Surgical complications were noticed in 228 (23.2%) patients, including 83 (8.4%) patients with more than one complication and 33 cases of Clavien-Dindo grade 3 complications (3.3%). The most common in-hospital complications were bleeding (n = 139, 14.1%) and bladder perforation (n = 46, 4.7%). In a multivariate analysis, nicotine use, high ASA score, and the presence of high-grade tumour were the most significant predictors of high-grade complications. The stage of the disease was the strongest predictor of bleeding, while the presence of muscle in the specimen and resident surgeon were the strongest predictors for bladder perforation.

Conclusions: TURBT poses a significant risk of surgical complications, the majority of which are of low grade.

Keywords: bladder cancer; intraoperative complications; postoperative complications; residency; transurethral resection of bladder tumour.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Svatek RS, Hollenbeck BK, Holmäng S, et al. . The economics of bladder cancer: costs and considerations of caring for this disease. Eur Urol 2014; 66: 253-62. - PubMed
    1. Lee F, Patel HR, Emberton M. The ‘top 10’ urological procedures: a study of hospital episodes statistics 1998-99. BJU Int 2002; 90: 1-6. - PubMed
    1. Brausi M, Collette L, Kurth K, et al. . Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta T1 transitional cell carcinoma of the bladder: a combined analysis of seven EORTC studies. Eur Urol 2002; 41: 523-31. - PubMed
    1. Zhang KY, Xing JC, Li W, Wu Z, Chen B, Bai DY. A novel transurethral resection technique for superficial bladder tumor: retrograde en bloc resection. World J Surg Oncol 2017; 15: 125. - PMC - PubMed
    1. Bansal A, Sankhwar S, Goel A, Kumar M, Purkait B, Aeron R. Grading of complications of transurethral resection of bladder tumor using Clavien-Dindo classification system. Indian J Urol 2016; 32: 232-7. - PMC - PubMed

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