요관회장문합술후 합병증
Postoperative complications of Ileal Conduit Urinary Diversion
최호성, 박해영, 이강현,
소속 상세정보
최호성 ( )
원자력병원
박해영 ( )
원자력병원
이강현 ( )
원자력병원
KMID : 0358319950360050562
Abstract
Continent urinary diversion or neobladder has been attempted more and more recently. However, ileal conduit urinary diversion is still the most common diversion technique applied after cystectomy, because it is much simpler than other techniques
and
also because it has reportedly produced less postoperative complications. But there have not been enough long term follow-up reports on this procedure in Korea.
Therefore, the authors followed 90 ileal conduit urinary diversion cases which were performed at the Korea Cancer Center Hospital (KCCH) between 1985 and 994. Upon these 90 cases, the authors analyzed the occurrence of early complications and
late
complications in percentage.
For the early complications, wound complications comprised 16%, early intestinal obstruction 2%, necrosis of ileal segment 1%, leakage of ureteroileal anastomosis 2% and acute pyelonephritis comprised 4%. These statistics show similar result with
cther
reports.
For the late complications, stomal stenosis comprised 1% nd the formation of calculi 3%. These numbers are lower occurrence compared to other reports.
Also, the late postoperative ileus comprised 10% and renal deterioration 12%. These reflect similar occurrences with other reports.
In conclusion, reviewing long term follow-up on ileal conduit urinary diversion by means of analyzing the early and late complications, the ileal conduit urinary diversion is still considered good diversion technique which has acceptable ratio of
renal
deterioration and postoperative complications.
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