Maximizing efficiency and ensuring safety: exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical day
Background - The purpose of this study was to evaluate the outcomes of performing 2 consecutive open radical cystectomies (RCs) within 1 day by the same surgical team. - Patients and Methods - A retrospective analysis was conducted on data from patients who underwent RC at a single tertiary care cen...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
April 2024
|
| In: |
Urologic oncology
Year: 2024, Volume: 42, Issue: 4, Pages: 118.e1-118.e7 |
| ISSN: | 1873-2496 |
| DOI: | 10.1016/j.urolonc.2024.01.010 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.urolonc.2024.01.010 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1078143924000115 
|
| Author Notes: | Luisa Egen, Frederik Wessels, Allison Quan, Niklas Westhoff, Maximilian Christian Kriegmair, Patrick Honeck, Maurice Stephan Michel, Karl-Friedrich Kowalewski |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1907963812 | ||
| 003 | DE-627 | ||
| 005 | 20250127145840.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 241108s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.urolonc.2024.01.010 |2 doi | |
| 035 | |a (DE-627)1907963812 | ||
| 035 | |a (DE-599)KXP1907963812 | ||
| 035 | |a (OCoLC)1475637648 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Egen, Luisa |d 1993- |e VerfasserIn |0 (DE-588)1229651535 |0 (DE-627)1751720217 |4 aut | |
| 245 | 1 | 0 | |a Maximizing efficiency and ensuring safety |b exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical day |c Luisa Egen, Frederik Wessels, Allison Quan, Niklas Westhoff, Maximilian Christian Kriegmair, Patrick Honeck, Maurice Stephan Michel, Karl-Friedrich Kowalewski |
| 264 | 1 | |c April 2024 | |
| 300 | |a 7 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Online verfügbar 20 January 2024, Version des Artikels 19 March 2024 | ||
| 500 | |a Gesehen am 08.11.2024 | ||
| 520 | |a Background - The purpose of this study was to evaluate the outcomes of performing 2 consecutive open radical cystectomies (RCs) within 1 day by the same surgical team. - Patients and Methods - A retrospective analysis was conducted on data from patients who underwent RC at a single tertiary care center from January 2015 to February 2023. Patient characteristics, perioperative outcomes and endpoints were analyzed. Univariable and multivariable logistic regression models were created to predict major complications. - Results - A total of 657 patients were included in the final cohort, containing 64 paired RCs (32 RC1 and 32 RC2) and 593 single RCs. Major complications occurred in 24.7% of the entire cohort, with no significant differences between single RC vs. RC1 and RC2. Paired RCs showed significantly shorter operative time (OT; p=0.001) and length of stay (LOS; p=0.047) compared to single RCs. There were no significant differences in transfusion rates, 30-day readmission, 30-day mortality, or histopathological results between paired and single RCs. Multivariable analysis identified patient characteristics such as age (OR=1.67, p=0.03), sex (OR=0.45, p=0.008), BMI (OR=1.98, p=0.007), ASA-score (OR=1.61, p=0.04), and OT (OR=1.87, p=0.008) as independent predictors of major complications. - Conclusion - Performing 2 consecutive open RCs within 1 day by the same surgical team is a safe approach in experienced hands. This strategy optimizes the utilization of surgical resources and addresses the growing demand for urologic care while maintaining high-quality patient care. Preoperative planning should consider patient-specific factors to minimize risks associated with major complications. - Micro Abstract - This study evaluates the outcomes of performing 2 consecutive open radical cystectomies (RC) in a single day by the same surgical team. Data from 657 patients who underwent RC at a single tertiary medical center proved that this approach is safe, with no significant differences in major complications. Preoperative planning should consider patient-specific factors for efficient utilization of surgical resources. | ||
| 650 | 4 | |a Bladder cancer | |
| 650 | 4 | |a Consecutive procedures | |
| 650 | 4 | |a Patient outcomes | |
| 650 | 4 | |a Perioperative complications | |
| 650 | 4 | |a Surgical resources | |
| 700 | 1 | |a Wessels, Frederik |d 1990- |e VerfasserIn |0 (DE-588)1183323255 |0 (DE-627)1663137226 |4 aut | |
| 700 | 1 | |a Quan, Allison |e VerfasserIn |4 aut | |
| 700 | 1 | |a Westhoff, Niklas Christian |d 1988- |e VerfasserIn |0 (DE-588)107322306X |0 (DE-627)828672628 |0 (DE-576)434741752 |4 aut | |
| 700 | 1 | |a Kriegmair, Maximilian |d 1987- |e VerfasserIn |0 (DE-588)1049742745 |0 (DE-627)782573347 |0 (DE-576)403726840 |4 aut | |
| 700 | 1 | |a Honeck, Patrick |d 1975- |e VerfasserIn |0 (DE-588)129336912 |0 (DE-627)394253884 |0 (DE-576)297606875 |4 aut | |
| 700 | 1 | |a Michel, Maurice Stephan |d 1970- |e VerfasserIn |0 (DE-588)121842568 |0 (DE-627)705674134 |0 (DE-576)29291363X |4 aut | |
| 700 | 1 | |a Kowalewski, Karl-Friedrich |d 1989- |e VerfasserIn |0 (DE-588)1100724192 |0 (DE-627)859518825 |0 (DE-576)469770740 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Urologic oncology |d Amsterdam [u.a.] : Elsevier Science, 1995 |g 42(2024), 4 vom: Apr., Seite 118.e1-118.e7 |h Online-Ressource |w (DE-627)320491021 |w (DE-600)2011021-2 |w (DE-576)272349585 |x 1873-2496 |7 nnas |a Maximizing efficiency and ensuring safety exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical day |
| 773 | 1 | 8 | |g volume:42 |g year:2024 |g number:4 |g month:04 |g pages:118.e1-118.e7 |g extent:7 |a Maximizing efficiency and ensuring safety exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical day |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.urolonc.2024.01.010 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://www.sciencedirect.com/science/article/pii/S1078143924000115 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20241108 | ||
| 993 | |a Article | ||
| 994 | |a 2024 | ||
| 998 | |g 1100724192 |a Kowalewski, Karl-Friedrich |m 1100724192:Kowalewski, Karl-Friedrich |d 60000 |d 63100 |e 60000PK1100724192 |e 63100PK1100724192 |k 0/60000/ |k 1/60000/63100/ |p 8 |y j | ||
| 998 | |g 121842568 |a Michel, Maurice Stephan |m 121842568:Michel, Maurice Stephan |d 60000 |d 63100 |e 60000PM121842568 |e 63100PM121842568 |k 0/60000/ |k 1/60000/63100/ |p 7 | ||
| 998 | |g 129336912 |a Honeck, Patrick |m 129336912:Honeck, Patrick |d 60000 |e 60000PH129336912 |k 0/60000/ |p 6 | ||
| 998 | |g 1049742745 |a Kriegmair, Maximilian |m 1049742745:Kriegmair, Maximilian |d 60000 |d 63100 |e 60000PK1049742745 |e 63100PK1049742745 |k 0/60000/ |k 1/60000/63100/ |p 5 | ||
| 998 | |g 107322306X |a Westhoff, Niklas Christian |m 107322306X:Westhoff, Niklas Christian |d 60000 |d 63100 |e 60000PW107322306X |e 63100PW107322306X |k 0/60000/ |k 1/60000/63100/ |p 4 | ||
| 998 | |g 1183323255 |a Wessels, Frederik |m 1183323255:Wessels, Frederik |d 60000 |d 63100 |d 60000 |e 60000PW1183323255 |e 63100PW1183323255 |e 60000PW1183323255 |k 0/60000/ |k 1/60000/63100/ |k 0/60000/ |p 2 | ||
| 998 | |g 1229651535 |a Egen, Luisa |m 1229651535:Egen, Luisa |d 60000 |e 60000PE1229651535 |k 0/60000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1907963812 |e 4611525643 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"recId":"1907963812","physDesc":[{"extent":"7 S."}],"title":[{"subtitle":"exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical day","title_sort":"Maximizing efficiency and ensuring safety","title":"Maximizing efficiency and ensuring safety"}],"note":["Online verfügbar 20 January 2024, Version des Artikels 19 March 2024","Gesehen am 08.11.2024"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"language":["eng"],"relHost":[{"origin":[{"publisher":"Elsevier Science","publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"1995","dateIssuedDisp":"1995-"}],"pubHistory":["1.1995 -"],"type":{"bibl":"periodical","media":"Online-Ressource"},"language":["eng"],"note":["Gesehen am 22.11.04"],"id":{"zdb":["2011021-2"],"issn":["1873-2496"],"eki":["320491021"]},"part":{"pages":"118.e1-118.e7","text":"42(2024), 4 vom: Apr., Seite 118.e1-118.e7","extent":"7","issue":"4","year":"2024","volume":"42"},"title":[{"title_sort":"Urologic oncology","title":"Urologic oncology"}],"physDesc":[{"extent":"Online-Ressource"}],"recId":"320491021","disp":"Maximizing efficiency and ensuring safety exploring the outcomes of 2 consecutive open radical cystectomies by the same team within a single surgical dayUrologic oncology"}],"person":[{"display":"Egen, Luisa","given":"Luisa","role":"aut","family":"Egen"},{"family":"Wessels","role":"aut","given":"Frederik","display":"Wessels, Frederik"},{"display":"Quan, Allison","family":"Quan","given":"Allison","role":"aut"},{"display":"Westhoff, Niklas Christian","family":"Westhoff","role":"aut","given":"Niklas Christian"},{"role":"aut","given":"Maximilian","family":"Kriegmair","display":"Kriegmair, Maximilian"},{"display":"Honeck, Patrick","role":"aut","given":"Patrick","family":"Honeck"},{"role":"aut","given":"Maurice Stephan","family":"Michel","display":"Michel, Maurice Stephan"},{"given":"Karl-Friedrich","role":"aut","family":"Kowalewski","display":"Kowalewski, Karl-Friedrich"}],"origin":[{"dateIssuedKey":"2024","dateIssuedDisp":"April 2024"}],"id":{"doi":["10.1016/j.urolonc.2024.01.010"],"eki":["1907963812"]},"name":{"displayForm":["Luisa Egen, Frederik Wessels, Allison Quan, Niklas Westhoff, Maximilian Christian Kriegmair, Patrick Honeck, Maurice Stephan Michel, Karl-Friedrich Kowalewski"]}} | ||
| SRT | |a EGENLUISAWMAXIMIZING2024 | ||