Author | Hägele, Anja | dc.contributor.author |
Date of accession | 2016-03-14T13:41:22Z | dc.date.accessioned |
Available in OPARU since | 2016-03-14T13:41:22Z | dc.date.available |
Year of creation | 2006 | dc.date.created |
Abstract | Purpose: 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 |
Language | de | dc.language.iso |
Publisher | Universität Ulm | dc.publisher |
License | Standard (Fassung vom 03.05.2003) | dc.rights |
Link to license text | https://oparu.uni-ulm.de/xmlui/license_v1 | dc.rights.uri |
Keyword | Harnblasenersatz | dc.subject |
Keyword | Postoperative Komplikation | dc.subject |
Dewey Decimal Group | DDC 610 / Medicine & health | dc.subject.ddc |
MeSH | Cystectomy | dc.subject.mesh |
Title | Komplikationen nach Zystektomie und Anlage einer Ileum-Neoblase | dc.title |
Resource type | Dissertation | dc.type |
DOI | http://dx.doi.org/10.18725/OPARU-831 | dc.identifier.doi |
URN | http://nbn-resolving.de/urn:nbn:de:bsz:289-vts-59409 | dc.identifier.urn |
GND | Dünndarmblase | dc.subject.gnd |
GND | Ersatzblase | dc.subject.gnd |
GND | Harnableitung | dc.subject.gnd |
GND | Harnblase | dc.subject.gnd |
GND | Krummdarm | dc.subject.gnd |
GND | Zystektomie | dc.subject.gnd |
Faculty | Medizinische Fakultät | uulm.affiliationGeneral |
Date of activation | 2007-06-26T15:05:34Z | uulm.freischaltungVTS |
Peer review | nein | uulm.peerReview |
Shelfmark print version | Z: J-H 11.528 ; W: W-H 9.734 | uulm.shelfmark |
DCMI Type | Text | uulm.typeDCMI |
VTS ID | 5940 | uulm.vtsID |
Category | Publikationen | uulm.category |
Bibliography | uulm | uulm.bibliographie |