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AuthorHägele, Anjadc.contributor.author
Date of accession2016-03-14T13:41:22Zdc.date.accessioned
Available in OPARU since2016-03-14T13:41:22Zdc.date.available
Year of creation2006dc.date.created
AbstractPurpose: Orthotopic urinary diversion via the ileal neobladder is the preferred form of bladder reconstruction in patients of both sexes undergoing cystectomy at the University of Ulm. A total of 754 patients undergoing this procedure from April 1986 through September 2003 were analyzed. Material and Methods: Complications were assessed, tabulated, subdivided into early (3 months or less postoperatively) and late types, and further categorized with respect to relationship to neobladder construction. The evaluation was realized via a patient questionnaire and phone interviews with patients, relatives and physicians. Results: The 3-months mortality rate was 3 %. There were 257 neobladder related early complications (34 %) and 299 late complications (40 %). 119 early complications (16 %) and 32 late complications (4 %) were dependent on the exclusion of the bowel segment. Early complications of the pelvic lymphadenectomy occurred in 134 cases (18 %) and late complications in 30 cases (4 %). There were 168 general early complications (22 %) and 29 late complications (4 %). Tumor related neobladder complications were late complications and occurred in 25 cases (3 %). 13 % of early complications and 9 % of late complications required open surgical revision. Early complications were observed in 58 % of the patients and late complications in 47 % of the patients. The most frequent of clinically relevant early complications were the rate of prolonged urinary leakage (5 %), ileus symptoms (5 %), stenosis of the ureteroneovesical anastomosis (4 %) and disorder of lymphatic drainage (4 %); late complications were stenosis of the ureteroneovesical anastomosis (5 %) and stricture of the neovesicourethral anastomosis (3 %). Conclusion: The ileal neobladder can be constructed with acceptable complications. This data suggest that although it is not a complication-free procedure, its use should be advocated when possible.dc.description.abstract
Languagededc.language.iso
PublisherUniversität Ulmdc.publisher
LicenseStandard (Fassung vom 03.05.2003)dc.rights
Link to license texthttps://oparu.uni-ulm.de/xmlui/license_v1dc.rights.uri
KeywordHarnblasenersatzdc.subject
KeywordPostoperative Komplikationdc.subject
Dewey Decimal GroupDDC 610 / Medicine & healthdc.subject.ddc
MeSHCystectomydc.subject.mesh
TitleKomplikationen nach Zystektomie und Anlage einer Ileum-Neoblasedc.title
Resource typeDissertationdc.type
DOIhttp://dx.doi.org/10.18725/OPARU-831dc.identifier.doi
URNhttp://nbn-resolving.de/urn:nbn:de:bsz:289-vts-59409dc.identifier.urn
GNDDünndarmblasedc.subject.gnd
GNDErsatzblasedc.subject.gnd
GNDHarnableitungdc.subject.gnd
GNDHarnblasedc.subject.gnd
GNDKrummdarmdc.subject.gnd
GNDZystektomiedc.subject.gnd
FacultyMedizinische Fakultätuulm.affiliationGeneral
Date of activation2007-06-26T15:05:34Zuulm.freischaltungVTS
Peer reviewneinuulm.peerReview
Shelfmark print versionZ: J-H 11.528 ; W: W-H 9.734uulm.shelfmark
DCMI TypeTextuulm.typeDCMI
VTS-ID5940uulm.vtsID
CategoryPublikationenuulm.category
University Bibliographyjauulm.unibibliographie


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