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Suh JW, Kim DW, Lee J, Yang IJ, Ahn HM, Oh HK, Kim JK, Lee H, Oh JJ, Lee S, Jeong SJ, Hong SK, Byun SS, Kang SB. Comparison of partial and total cystectomy for colorectal cancer with histologically confirmed bladder invasion. Surgery 2024; 176:652-659. [PMID: 38851902 DOI: 10.1016/j.surg.2024.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 03/11/2024] [Accepted: 04/06/2024] [Indexed: 06/10/2024]
Abstract
BACKGROUND Although organs are preserved and quality of life is improved, insufficient evidence is available for the oncologic safety of partial cystectomy in patients with colorectal cancer with suspected bladder invasion. Therefore, we aimed to compare partial and total cystectomy outcomes in patients with pathologically confirmed or clinically suspected bladder invasion. METHODS Patients with colorectal cancer with suspected bladder invasion who underwent R0 resection from 2000 to 2020 were evaluated. Long-term outcomes were determined in patients with histologically confirmed bladder invasion. RESULTS Of the 151 consecutive patients, 96 (64.6%) had histologically confirmed bladder involvement, and 105 (69.5%) underwent partial cystectomy. Operative time, estimated blood loss, and reoperation rate in ≤30 days were significantly worse in the total cystectomy group than in the partial cystectomy group. The overall recurrence rate was significantly higher in the total cystectomy group than in the partial cystectomy group (39.1% vs 21.9%; P = .046). Five-year overall survival (75.8% vs 53.2%; P = .006) rates were higher in the partial cystectomy group than in the total cystectomy group; however, disease-free survival (60.8% vs 41.6%; P = .088) rates were similar in patients with suspected bladder invasion. In patients with histologically confirmed bladder invasion, 5-year overall survival rates (78.1% vs 52.1%; P = .017) were higher in the partial cystectomy group than in the total cystectomy group; however, disease-free survival rates (53.4% vs 41.2%; P = .220) did not differ significantly. CONCLUSION R0 resection is associated with favorable long-term outcomes in patients with locally advanced colorectal cancer. If R0 resection is possible, partial cystectomy is considered safe.
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Affiliation(s)
- Jung Wook Suh
- Department of Surgery, Dankook University Hospital, Cheonan, Korea
| | - Duck-Woo Kim
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
| | - Jeehye Lee
- Department of Surgery, Yongin Severance Hospital, Yonsei University, Korea
| | - In Jun Yang
- Department of Surgery, Chungnam National University Hospital, Daejeon, Korea
| | - Hong-Min Ahn
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Heung-Kwon Oh
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Jung Kwon Kim
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Hakmin Lee
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Jong Jin Oh
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Sangchul Lee
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Seong Jin Jeong
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Sung Kyu Hong
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Seok-Soo Byun
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Sung-Bum Kang
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
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Harputlu D, Öztürk FÖ, Aydın D, Akyol C, Tezel A. Effect of Laughter Yoga on Sleep and Quality of Life in Individuals With Fecal Ostomies: A Randomized Controlled Trial. J Wound Ostomy Continence Nurs 2023; 50:307-312. [PMID: 37467409 DOI: 10.1097/won.0000000000000988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
PURPOSE The aim of this study was to evaluate the effect of laughter yoga on the quality of life and sleep quality in individuals with fecal ostomies. DESIGN This was randomized controlled trial. SUBJECTS AND SETTING The sample comprised 55 individuals with an ostomy who received care at Ankara University's I˙bni Sina Hospital Stoma Therapy Unit in Ankara, Turkey. Data were collected over a 2-month period (January and February 2020). METHODS Participants were allocated into an intervention group (n = 27) who received a yoga therapy intervention and a control group (n = 28) who received no intervention via simple randomization. Demographic and pertinent clinical variables were obtained during a baseline visit in both groups, along with the Pittsburgh Sleep Quality Index (PSQI) and Stoma-Quality of Life (Stoma-QOL) instruments. The intervention group received laughter yoga weekly over a period of 8 weeks. RESULTS Mean scores on the PSQI and the Stoma-QOL at baseline were compared. Participants in the intervention had a significant decline in mean PSQI scores (6.85 vs 5.48, P = .044) indicating improvement in sleep quality following the intervention. Analysis revealed no significant difference in mean Stoma-QOL scores (P = .077). Control group participants had no significant difference in either mean PSQI or Stoma-QOL scores following data collection at the end of 8 weeks. CONCLUSIONS Laughter yoga had a positive effect on the sleep quality in individuals with fecal ostomies. Further research is recommended to evaluate the effect of the number of laughter yoga sessions on the sleep quality and quality of life in individuals with ostomies.
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Affiliation(s)
- Deniz Harputlu
- Deniz Harputlu, PhD, RN, Faculty of Nursing, University of Akureyri, Akureyri, Iceland, and Faculty of Nursing, Ankara University, Ankara, Turkey
- Fatma Özlem Öztürk, PhD, RN, Faculty of Nursing, Ankara University, Ankara, Turkey
- Durucan Aydın, RN, Ankara University I˙bni Sina Hospital, Ankara, Turkey
- Cihangir Akyol, MD, Ankara University School of Medicine, Ankara, Turkey
- Ayfer Tezel, RN, PhD, Faculty of Nursing, Ankara University, Ankara, Turkey
| | - Fatma Özlem Öztürk
- Deniz Harputlu, PhD, RN, Faculty of Nursing, University of Akureyri, Akureyri, Iceland, and Faculty of Nursing, Ankara University, Ankara, Turkey
- Fatma Özlem Öztürk, PhD, RN, Faculty of Nursing, Ankara University, Ankara, Turkey
- Durucan Aydın, RN, Ankara University I˙bni Sina Hospital, Ankara, Turkey
- Cihangir Akyol, MD, Ankara University School of Medicine, Ankara, Turkey
- Ayfer Tezel, RN, PhD, Faculty of Nursing, Ankara University, Ankara, Turkey
| | - Durucan Aydın
- Deniz Harputlu, PhD, RN, Faculty of Nursing, University of Akureyri, Akureyri, Iceland, and Faculty of Nursing, Ankara University, Ankara, Turkey
- Fatma Özlem Öztürk, PhD, RN, Faculty of Nursing, Ankara University, Ankara, Turkey
- Durucan Aydın, RN, Ankara University I˙bni Sina Hospital, Ankara, Turkey
- Cihangir Akyol, MD, Ankara University School of Medicine, Ankara, Turkey
- Ayfer Tezel, RN, PhD, Faculty of Nursing, Ankara University, Ankara, Turkey
| | - Cihangir Akyol
- Deniz Harputlu, PhD, RN, Faculty of Nursing, University of Akureyri, Akureyri, Iceland, and Faculty of Nursing, Ankara University, Ankara, Turkey
- Fatma Özlem Öztürk, PhD, RN, Faculty of Nursing, Ankara University, Ankara, Turkey
- Durucan Aydın, RN, Ankara University I˙bni Sina Hospital, Ankara, Turkey
- Cihangir Akyol, MD, Ankara University School of Medicine, Ankara, Turkey
- Ayfer Tezel, RN, PhD, Faculty of Nursing, Ankara University, Ankara, Turkey
| | - Ayfer Tezel
- Deniz Harputlu, PhD, RN, Faculty of Nursing, University of Akureyri, Akureyri, Iceland, and Faculty of Nursing, Ankara University, Ankara, Turkey
- Fatma Özlem Öztürk, PhD, RN, Faculty of Nursing, Ankara University, Ankara, Turkey
- Durucan Aydın, RN, Ankara University I˙bni Sina Hospital, Ankara, Turkey
- Cihangir Akyol, MD, Ankara University School of Medicine, Ankara, Turkey
- Ayfer Tezel, RN, PhD, Faculty of Nursing, Ankara University, Ankara, Turkey
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Donegan B, Kingston L. Quality of life following formation of an ileal conduit due to urinary bladder neoplasm: A systematic review. Int J Nurs Pract 2021; 28:e12988. [PMID: 34313369 DOI: 10.1111/ijn.12988] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 05/28/2021] [Accepted: 06/08/2021] [Indexed: 11/28/2022]
Abstract
AIM To present the findings of a systematic review on reported quality of life following the formation of a urinary diversion as a result of cystectomy due to urinary bladder neoplasm. BACKGROUND Bladder cancer is the most commonly occurring cancer of the urological system. Treatment often involves undergoing a radical cystectomy with an ileal conduit formation. Quality of life issues associated with this surgery are complex and varied. DESIGN A systematic review using thematic synthesis. DATA SOURCES A comprehensive search, using The Cochrane Library, CINAHL, PubMed and PsycInfo databases, focusing on the years from 2007 to 2020. REVIEW METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses was the chosen checklist used. Studies were critically appraised using the Crowe Critical Appraisal Tool. RESULTS The formation of an ileal conduit negatively affects respondent's quality of life particularly regarding body image, social distress, reduced sexual activity and employment. Poor research focus on the impact of ileal conduit formation on sexual well-being postoperatively was apparent. CONCLUSIONS Further research using qualitative methodologies is needed to gain a deeper understanding of how this life-changing procedure impacts quality of life.
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Affiliation(s)
- Breege Donegan
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Liz Kingston
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
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Vuillermet C, Meillat H, Manceau G, Creavin B, Eveno C, Benoist S, Parc Y, Lefevre JH. Advanced colonic cancer with clinically suspected bladder invasion: Outcomes and prognosis from a multicentric study of 117 patients from the FRENCH research group. Surgery 2020; 168:786-792. [PMID: 32771298 DOI: 10.1016/j.surg.2020.06.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 05/26/2020] [Accepted: 06/03/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Bladder invasion by colon cancer is rare; however, its management is still controversial. Our objective was to report outcomes and identify risk factors for local recurrence in colon cancer with clinically suspected bladder invasion. METHODS We conducted a retrospective study in 23 centers in France. All patients who underwent colon surgery with bladder resection (2010-2017) were included. Metastatic and recurrent colon cancers were excluded. RESULTS One hundred and seventeen patients (men = 73) were included. Partial cystectomy occurred in 108 patients (92.3%), with a total cystectomy occurring in 9 patients (7.7%). Neoadjuvant treatment was given to 31 patients (26.5%). Major morbidity was 20.5%. R0 resection rates were 87.2%. Histologically confirmed bladder invasion was present in 47%. Thirty-four patients were pN+, while 60 patients (51.3%) received adjuvant chemotherapy. Mean follow-up was 33.8 months. Three-year overall survival and disease-free survival were 82.9% and 59.5%. Rates of local recurrence and distant recurrence were 14.5% and 18.8%, respectively; the local recurrences (11/17; 65%) were in the bladder, while 4 of these patients had a bladder recurrence despite not having histologically confirmed bladder invasion at the index surgery. The rate of bladder recurrence after histologic bladder invasion was 13% (7/55), while the rate of bladder recurrence without primary bladder invasion was 7% (4/62) (P = .343). Neoadjuvant therapy, type of cystectomy, and adjuvant therapy did not influence local recurrence (P > .445 each). R1 bladder resections, when compared with a R0 bladder resections, were associated with an increased rate of local recurrence (63% vs 10%; P < .0001). CONCLUSION Clinically suspected bladder invasion increases local recurrence even in the absence of histologically confirmed bladder invasion. Only complete resections with R0 margins decrease local recurrence. Careful, detailed postoperative surveillance is required, even without pathologic bladder invasion.
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Affiliation(s)
- Cindy Vuillermet
- Sorbonne Université, Department of Digestive Surgery, AP-HP, Hôpital Saint Antoine, Paris, France
| | - Hélène Meillat
- Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France
| | - Gilles Manceau
- Department of Digestive Surgery, Pitié Salpêtrière Hospital, AP-HP, Sorbonne University, Paris, France
| | - Ben Creavin
- Department of Surgery, St Vincent's University Hospital, Elm Park, Dublin, Ireland
| | - Clarisse Eveno
- Department of Digestive and Oncological Surgery, University Hospital C. Huriez, Lille, France
| | - Stéphane Benoist
- Department of Digestive Surgery, Bicêtre Hospital, University Paris Sud XI, 7, Le Kremlin-Bicêtre, France
| | - Yann Parc
- Sorbonne Université, Department of Digestive Surgery, AP-HP, Hôpital Saint Antoine, Paris, France
| | - Jérémie H Lefevre
- Sorbonne Université, Department of Digestive Surgery, AP-HP, Hôpital Saint Antoine, Paris, France.
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