Metabolic Syndrome, Obesity, and Radical Cystectomy Complications: A Clavien Classification System-Based Analysis

作者: Francesco Cantiello , Antonio Cicione , Riccardo Autorino , Cosimo De Nunzio , Andrea Salonia

DOI: 10.1016/J.CLGC.2014.03.001

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摘要: Abstract Introduction/Background The objective of this study was to evaluate the effect MetS and its components on early complications observed in patients treated with RC urinary diversion. Patients Methods We retrospectively analyzed 346 bladder cancer undergoing standard lymphadenectomy, according procedure suggested by International Consultation Bladder Cancer, All within 90 days surgery were recorded collected 10 Martin criteria classified established 5 grades modified Clavien classification system (CCS). defined National Cholesterol Educational Program's Third Adult Treatment Panel. A binary logistic regression analysis used analyze and, separately, single components, as possible independent risk factors for high-grade complications. Results total 323 occurred 231 (66.8%). rates low-grade (CCS I-II) III-V), mortality V), 80.8% (261 323), 19.2% (62 1.7% (6 346), respectively. At univariate analysis, showed a higher rate compared without (P  Conclusion is major surgical significant rate, nevertheless, most are waist circumference associated

参考文章(26)
Tobias Maurer, Jean Maurer, Margitta Retz, Roger Paul, Niko Zantl, Jürgen E. Gschwend, Uwe Treiber, Influence of body mass index on operability, morbidity and disease outcome following radical cystectomy. Urologia Internationalis. ,vol. 82, pp. 432- 439 ,(2009) , 10.1159/000218533
Daniel Dindo, Nicolas Demartines, Pierre-Alain Clavien, Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery. ,vol. 240, pp. 205- 213 ,(2004) , 10.1097/01.SLA.0000133083.54934.AE
CHERYL T. LEE, RODNEY L. DUNN, BERT T. CHEN, DAYA P. JOSHI, JAQUELINE SHEFFIELD, JAMES E. MONTIE, IMPACT OF BODY MASS INDEX ON RADICAL CYSTECTOMY The Journal of Urology. ,vol. 172, pp. 1281- 1285 ,(2004) , 10.1097/01.JU.0000138785.48347.AA
Eva Kassi, Panagiota Pervanidou, Gregory Kaltsas, George Chrousos, Metabolic syndrome: definitions and controversies BMC Medicine. ,vol. 9, pp. 48- 48 ,(2011) , 10.1186/1741-7015-9-48
Ann W Hsing, Lori C Sakoda, Streamson C Chua, Obesity, metabolic syndrome, and prostate cancer The American Journal of Clinical Nutrition. ,vol. 86, ,(2007) , 10.1093/AJCN/86.3.843S
Adrian J Cameron, Jonathan E Shaw, Paul Z Zimmet, The metabolic syndrome: prevalence in worldwide populations Endocrinology and Metabolism Clinics of North America. ,vol. 33, pp. 351- 375 ,(2004) , 10.1016/J.ECL.2004.03.005
Giacomo Novara, Vincenzo De Marco, Maurizio Aragona, Rafael Boscolo-Berto, Stefano Cavalleri, Walter Artibani, Vincenzo Ficarra, Complications and Mortality After Radical Cystectomy for Bladder Transitional Cell Cancer Journal of Urology. ,vol. 182, pp. 914- 921 ,(2009) , 10.1016/J.JURO.2009.05.032
C. De Nunzio, L. Cindolo, C. Leonardo, A. Antonelli, C. Ceruti, G. Franco, M. Falsaperla, M. Gallucci, M. Alvarez-Maestro, A. Minervini, V. Pagliarulo, P. Parma, S. Perdonà, A. Porreca, B. Rocco, L. Schips, S. Serni, M. Serrago, C. Simeone, G. Simone, R. Spadavecchia, A. Celia, P. Bove, S. Zaramella, S. Crivellaro, R. Nucciotti, A. Salvaggio, B. Frea, V. Pizzuti, L. Salsano, A. Tubaro, Analysis of radical cystectomy and urinary diversion complications with the Clavien classification system in an Italian real life cohort Ejso. ,vol. 39, pp. 792- 798 ,(2013) , 10.1016/J.EJSO.2013.03.008
Harry W. Herr, James R. Faulkner, H. Barton Grossman, Ronald B. Natale, Ralph deVere White, Michael F. Sarosdy, E. David Crawford, Surgical Factors Influence Bladder Cancer Outcomes: A Cooperative Group Report Journal of Clinical Oncology. ,vol. 22, pp. 2781- 2789 ,(2004) , 10.1200/JCO.2004.11.024