AI Article Synopsis

  • Radical cystectomy (RC) is a common treatment for muscle-invasive bladder cancer, but it is associated with a high rate of complications, particularly postoperative infections. !* -
  • A study analyzed 126 patients who underwent RC, finding that various types of infections occurred in 66 of them, with anaerobic bacterial infections detected in a few cases. !* -
  • While the rate of anaerobic infections after RC is lower compared to colon surgeries, the findings suggest that these bacteria should still be considered potential culprits in postoperative infections. !*

Article Abstract

Radical cystectomy followed by urinary diversion or reconstruction (RC) is a standard treatment for patients with muscle-invasive bladder cancer. In these operations, a high frequency of complications, especially postoperative infection, has been reported. However, there have only been a few studies about postoperative anaerobic bacterial infection. To clarify the significance and role of anaerobic bacteria in postoperative infection, we retrospectively analyzed cases in which postoperative infection by these organisms developed. A total of 126 patients who underwent RC from 2006 to 2010 were included in this study. Various types of postoperative infection occurred in 66 patients. Anaerobic bacterial infections were detected with cultures for urine and blood in one case, for blood in two cases, and for surgical wound pus in four. The frequency of postoperative anaerobic bacterial infection in RC was less than that of colon surgery. However, this study revealed the possible development of a nonnegligible number of postoperative anaerobic bacterial infections. Therefore, we should consider anaerobic bacteria as possible pathogens in postoperative infection after RC.

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http://dx.doi.org/10.1007/s10156-013-0583-zDOI Listing

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