Ahmet Tunç ÖZDEMİR, Ege Can ŞEREFOĞLU, Ali Fuat ATMACA, Serkan ALTINOVA, Mevlana Derya BALBAY

Is placement of pelvic drain indispensable after radical cystectomy, extended lymph node dissection, and orthotopic neobladder substitution?

To evaluate the necessity of leaving a pelvic drain after open radical cystectomy. Materials and methods: Between January 2007 and January 2010, 58 patients with muscle-invasive bladder carcinoma were included. All patients underwent radical cystectomy, extended lymph node dissection, and orthotopic bladder (Studer pouch) substitution. Patients were randomized to have a pelvic drain catheter (Group 1, n = 22) or not (Group 2, n = 36). Ureteral catheters were removed at postoperative days 7 and 8. The pelvic drain catheters in Group 1 were removed when daily production was

Anahtar Kelimeler:

Key words: Bladder cancer, pelvic drainage, radical cystectomy, transitional cell carcinoma

Is placement of pelvic drain indispensable after radical cystectomy, extended lymph node dissection, and orthotopic neobladder substitution?

Keywords:

Key words: Bladder cancer, pelvic drainage, radical cystectomy, transitional cell carcinoma,

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Çağlayan A, Akbulut Z, Atmaca AF, Altınova S, Kılıç M, Balbay MD. Effects of neoadjuvant chemotherapy on pathological parameters and survival in patients undergoing radical cystectomy for muscle-invasive bladder cancer. Turk J Med Sci 2012; 42: 623–9.
Weijerman PC, Schurmans JR, Hop WC, Schroder FH, Bosch JL. Morbidity and quality of life in patients with orthotopic and heterotopic continent urinary diversion. Urology 1998; 51: 51– 6.
Gburek BM, Lieber MM, Blue ML. Experience with Studer orthotopic ileal neobladder. Read at annual meeting of North Central Section, American Urological Association, Tucson, Arizona, 1996.
Godoy G, Katz DJ, Adamy A, Jamal JE, Bernstein M, Russo P. Routine drain placement after partial nephrectomy is not always necessary. J Urol 2011; 186: 411–5.
Benedetti-Panici P, Maneschi F, Cutillo G, D’Andrea G, di Palumbo VS, Conte M et al. A randomized study comparing retroperitoneal drainage with no drainage after lymphadenectomy in gynecologic malignancies. Gynecol Oncol 1997; 65: 478–82.
Fındık D, Tuncer İ. Nosocomial fungal infections in a teaching hospital in Turkey: identification of the pathogens and their antifungal susceptibility patterns. Turk J Med Sci 2002; 32: 35–8.
Patsner B. Closed-suction drainage versus no drainage following radical abdominal hysterectomy with pelvic lymphadenectomy for stage IB cervical cancer. Gynecol Oncol 1995; 57: 232–4.
Leonovicz PF, Uehling DT. Removal of retained Penrose drain under fluoroscopic guidance. Urology 1999; 53: 1221.
Beshai AZ, Flashner SC, Walther PJ. Endoscopic release of retained Penrose drains: a simple solution for an old problem. J Urol 1992; 147: 1067–8.
Kundu SD, Thompson RH, Kallingal GJ, Cambareri G, Russo P. Urinary fistulae after partial nephrectomy. BJU Int 2010; 106: 1042–4.
Pinero A, Reus M, Agea B, Capel A, Riquelme J, Parrilla P. Case report: Conservative management of an arteriovenous fistula of the inferior epigastric artery. Br J Radiol 2003; 76: 135–6.
Cerise EJ, Pierce WA, Diamond DL. Abdominal drains: their role as a source of infection following splenectomy. Ann Surg 1970; 171: 764–9.
Merad F, Hay JM, Fingerhut A, Yahchouchi E, Laborde Y, Pélissier E et al. Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis? A multicenter controlled randomized trial. French Association for Surgical Research. Surgery 1999; 125: 529–35.
Truedson H. Cholecystectomy with and without intraperitoneal drain. Acta Chir Scand 1983; 149: 393–9.
Allen-Mersh TG, Sprague DB, Mann CV, Turner MJ. Pelvic drainage after anterior resection of the rectum. Dis Colon Rectum 1989; 32: 223–6.
Merad F, Yahchouchi E, Hay JM, Fingerhut A, Laborde Y, Langlois-Zantain O. Prophylactic abdominal drainage after elective colonic resection and suprapromontory anastomosis: a multicenter study controlled by randomization. French Associations for Surgical Research. Arch Surg 1998; 133: 309– 14.
Fong Y, Brennan MF, Brown K, Heffernan N, Blumgart LH. Drainage is unnecessary after elective liver resection. Am J Surg 1996; 171: 158–62.
Patsner B. Routine retroperitoneal drainage is not required for uncomplicated pelvic lymphadenectomy for uterine cancer. Eur J Gynaecol Oncol 1999; 20: 87–9.
Scuderi GJ, Brusovanik GV, Fitzhenry LN, Vaccaro AR. Is wound drainage necessary after lumbar spinal fusion surgery? Med Sci Monit 2005; 11: 64–6.
Licht MR, Klein EA. Early hospital discharge after radical retropubic prostatectomy: impact on cost and complication rate. Urology 1994; 44: 700–4.
Savoie M, Soloway MS, Kim SS, Manoharan M. A pelvic drain may be avoided after radical retropubic prostatectomy. J Urol 2003; 170: 112–4.
Corriere JN Jr, Sandler CM. Bladder rupture from external trauma: diagnosis and management. World J Urol 1999; 17: 84–9.
Morey AF, McDonough RC 3rd, Kizer WS, Foley JP. Drain-free simple retropubic prostatectomy with fibrin sealant. J Urol 2002; 168: 627–9.
Kotkin L, Koch MO. Morbidity associated with nonoperative management of extraperitoneal bladder injuries. J Trauma 1995; 38: 895–8.
Studer UE, Danuser H, Merz VW, Springer JP, Zingg EJ. Experience in 100 patients with an ileal low pressure bladder substitute combined with an afferent tubular isoperistaltic segment. J Urol 1995; 154: 49–56.
Turner WH, Bitton A, Studer UE. Reconstruction of the urinary tract after radical cystectomy: the case for continent urinary diversion. Urology 1997; 49: 663–7.
Yokoo A, Hirose T, Mikuma N, Tsukamoto T. Ileal neobladder for bladder substitution after radical cystectomy. Int J Urol 1998; 5: 219–24.