A prospective randomized multicenter study of Turkish Society of Urooncology comparing two different mechanical bowel preparation methods for radical cystectomy

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dc.authorid0000-0003-2416-8556en_US
dc.contributor.authorAslan, Guven
dc.contributor.authorBaltaci, Sumer
dc.contributor.authorAkdogan, Bulent
dc.contributor.authorKuyumcuoglu, Ugur
dc.contributor.authorKaplan, Mustafa
dc.contributor.authorCal, Cag
dc.contributor.authorAdsan, Oztug
dc.contributor.authorTurkolmez, Kadir
dc.contributor.authorUgurlu, Ozgur
dc.contributor.authorEkici, Sinan
dc.contributor.authorFaydaci, Gokhan
dc.contributor.authorMammadov, Elnur
dc.contributor.authorTurkeri, Levent
dc.contributor.authorOzen, Haluk
dc.contributor.authorBeduk, Yasar
dc.date.accessioned2024-07-12T21:57:00Z
dc.date.available2024-07-12T21:57:00Z
dc.date.issued2013en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective: To investigate the outcomes and complication rates of urinary diversion using mechanical bowel preparation (BP) with 3 day conventional and limited BP method through a standard perioperative care plan. Materials and methods: This study was designed as a prospective randomized multicenter trial. All patients were randomized to 2 groups. Patients in standard 3-day BP protocol received diet restriction, oral antibiotics to bowel flora, oral laxatives, and saline enemas over a 3-day period, whereas limited the BP arm received liberal use of liquid diet, sodium phosphate laxative, and self administered enema the day before surgery. All patients received same perioperative treatment protocol. The endpoints for the assessment of outcome were anastomotic leakage, wound infection, wound dehiscence, intraperitoneal abscess, peritonitis, sepsis, ileus, reoperation, and mortality. Bowel function recovery, including time to first bowel movement, time to first oral intake, time to regular oral intake, and length of hospital stay were also assessed. Results: Fifty-six patients in 3-day BP and 56 in limited BP arm were evaluable for the study end points. Postoperatively, 1 patient in limited BP and 2 patients in 3-day BP arm died. There was no statistical difference in any of the variables assessed throughout the study, however, a favorable return of bowel function and time to discharge as well as lower complication rate were observed in limited BP group. Conclusions: Regarding all endpoints, including septic and nonseptic complications, current clinical research offers no evidence to show any advantage of 3-day BP over limited BP. (C) 2013 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.urolonc.2011.03.009
dc.identifier.endpage670en_US
dc.identifier.issn1078-1439
dc.identifier.issue5en_US
dc.identifier.pmid21546277en_US
dc.identifier.scopus2-s2.0-84879464282en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage664en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.urolonc.2011.03.009
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8634
dc.identifier.volume31en_US
dc.identifier.wosWOS:000321597600023en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofUROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY03965
dc.subjectBladder canceren_US
dc.subjectRadical cystectomyen_US
dc.subjectMechanical bowel preparationen_US
dc.subjectUrinary diversionen_US
dc.titleA prospective randomized multicenter study of Turkish Society of Urooncology comparing two different mechanical bowel preparation methods for radical cystectomyen_US
dc.typeArticle
dspace.entity.typePublication

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