Table 4 Complications, according to the modified Clavien classification system
From: Pure intracorporeal laparoscopic radical cystectomy with orthotopic “U” shaped ileal neobladder
Grade | Complication | No. of cases (%) | Management |
|---|---|---|---|
Early (within 30 day of LRC) | 8 (26.6) | ||
Low grade (1–2) | 7 (23.3) | ||
1 | Wound infection | 2 | Antibiotics and bedside management |
2 | Delirium | 2 | Sedative |
2 | Deep venous thrombosis | 1 | Anticoagulation prolonged therapy |
2 | Bowel ileus | 1 | Conservative |
2 | Neobladder-urethral anastomosis leakage | 1 | Prolonged bladder catheterisation |
High grade (3–5) | 1 (3.3) | ||
3a | Uretero-pouch anastomosis stricture | 1 | Double-J indwelling stent |
Late (>30 d after LRC) | 9 (30) | ||
Low grade (1–2) | 5(16.6) | ||
1 | Chronic urinary retention | 3 | Intermittent self catheterisation |
2 | Deep venous thrombosis | 1 | Anticoagulation prolonged therapy |
2 | Pouchitis | 1 | Antibiotics |
High grade (3–5) | 4 (13.3) | ||
3a | Vesico-urethral anastomosis stricture | 3 | Endoscopic incision |
3b | Ileal-pouch fistula | 1 | Reoperation |