Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male XXXX : results from a cohort study.

@entity1 @entity5 @entity190 @entity260 @entity150 @entity204
BACKGROUND: @entity150 is the second most common @entity5 . Our study was to introduce a standardized surgical procedure of retrograde radical cystectomy and consequent peritoneal cavity reconstruction in localized male @entity150 . METHODS: Eighty-four consecutive male @entity1 with localized @entity150 (clinical stage T2 or lower) underwent surgery in our institute with the proposed procedure between May 2012 and April 2013. Median age was 65  years (range, 35 to 83  years); @entity1 characteristics, surgical parameters, perioperative complications, pathology, and short-term prognosis were analyzed. Median follow-up was 24  months (range, 18 to 30  months). RESULTS: The complete procedure including urinary diversion took 4.0  h (2.2 to 5.0  h), with a median exposed peritoneal cavity of 45  min (0 to 75  min); the median @entity190 was 140  ml (50 to 600  ml), and 2 @entity1 needed transfusion; neurovascular bundles were reserved in 76 cases; the median abdominal and pelvic drainage was 9.0  days (6 to 15  days), the median gastrointestinal recovery was 2.5  days (1 to 12  days), and the median postoperative hospital stay was 13.0  days (10 to 21  days). Four @entity1 had severe surgical complications, and two had mild to moderate ileus, with recovery in 1 and 2  weeks with supportive treatment. No perioperative @entity204 or postoperative recurrence were reported. CONCLUSIONS: The surgical procedure in male localized @entity150 described in the present study provided surgical facilities, with limited abdominal organ disturbance and satisfactory @entity5 control. The procedure was associated with good gastrointestinal recovery, few @entity260 , and a short hospital stay.
