Application of Clavien-Dindo Classification System in the Early Complications of Radical Cystectomy in Al-Yarmook Teaching Hospital

Abbass Al-Sadie, Ahmed Fadhel; Al-Sammarraie, Saad Hatem; Kadhum, Taha Kaream

doi:10.52573/ipmj.2024.184952

	Application of Clavien-Dindo Classification System in the Early Complications of Radical Cystectomy in Al-Yarmook Teaching Hospital
Iraqi Postgraduate Medical Journal
Volume 23, Issue 3, July 2024, Pages 279-286 PDF (343.47 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2024.184952
Authors
Ahmed Fadhel Abbass Al-Sadie^* ¹; Saad Hatem Al-Sammarraie²; Taha Kaream Kadhum²
¹Specialist Urologist, Shaheed Mohamed Baker Alhakeem General Hospital , Iraq
²Consultant Urologist, AL-Yarmook Teaching Hospital, Baghdad, Iraq
Abstract
BACKGROUND: The most effective treatment for muscle-invasive bladder cancer and non-muscle invasive bladder cancer with highest risk of progression, is Radical cystectomy and urinary diversion. This operation carries a high risk of complications of multiple types that can affect not only the urinary system but also other systems. OBJECTIVE: This study analyzes the early complications (within 30 days) of Radical Cystectomy and urinary diversion, using a standardized classification system i.e. Clavien-Dindo classification system. PATIENTS AND METHODS: This is a combined retrospective and prospective study analyzing the early complications of RC. We review the early (30 days) post-operative period retrospectively for the previous cases and monitor this period, prospectively, for the coming cases at Al-Yarmook teaching hospital in Baghdad, Iraq from October 2017, to October 2019. We record the preoperative variables and postoperative complications in a systematic method using Clavien-Dindo classification system and the relationship between them. RESULTS: Twenty three patients are included in the study with a mean age 65.1 year. Urinary diversion types are cutaneous ureterostomy (9 patients) ileal conduit (10 patients) and orthotopic bladder (4patients). Most of the postoperative complications are minor (CD grade I and II) (73.3%). The predominant grade of complications are grade II (46.4%), while the least grades are grade IVb (3.5%) and grade V (3.5%). CONCLUSION: Radical cystectomy and urinary diversion for urinary bladder cancer carries a high risk of complications, but fortunately, most of these complications are minor and of low grade according to Clavien-Dindo classification system. Applying this classification system in the early complications of radical cystectomy allows rapid review of complications by researchers.
Keywords
Bladder cancer; Radical cystectomy; Complications; Clavien-Dindo

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