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01-03-2021 | Rectal Cancer | Original Article

Urinary reconstruction following total pelvic exenteration for locally advanced rectal cancer: complications and factors affecting outcomes

Authors: Mufaddal Kazi, Jitender Rohila, Naveena AN Kumar, Sanket Bankar, Reena Engineer, Ashwin Desouza, Avanish Saklani

Published in: Langenbeck's Archives of Surgery | Issue 2/2021

Abstract

Introduction

Total pelvic exenteration (TPE) for rectal cancers is associated with significant morbidity. We evaluated the complications related to urinary reconstruction following TPE and factors predicting urologic morbidity.

Methods

Retrospective analysis of TPE patients with incontinent urinary diversions between August 2013 and January 2020.

Results

One hundred TPE were performed with 96 ileal conduits (IC). Early complications occurred in 10 patients that included uretero-ileal leaks (5%), conduit-related complications (3%), and acute pyelonephritis (3%). Late complications were seen in 26% of patients with uretero-intestinal strictures in 11%. Mortality attributable to urinary complications was seen in 2%. No single factor, including prior radiation, recurrent disease, type of anastomosis, or blood loss, predicted development of urinary morbidity.

Conclusion

Conduit urinary diversion following TPE is associated with high urinary morbidity rate but low mortality. It can be safely performed even after previous surgeries and radiation by a dedicated colorectal team.

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Title: Urinary reconstruction following total pelvic exenteration for locally advanced rectal cancer: complications and factors affecting outcomes
Authors: Mufaddal Kazi
Jitender Rohila
Naveena AN Kumar
Sanket Bankar
Reena Engineer
Ashwin Desouza
Avanish Saklani
Publication date: 01-03-2021
Publisher: Springer Berlin Heidelberg
Keywords: Rectal Cancer
Rectal Cancer
Published in: Langenbeck's Archives of Surgery / Issue 2/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-021-02086-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Urinary reconstruction following total pelvic exenteration for locally advanced rectal cancer: complications and factors affecting outcomes

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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