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Journals / Üroonkoloji Bülteni / 2016 / Cilt: 15 - Sayı: 3

Early and Late Complications of Urinary Diversions after Radical Cystectomy

Radikal Sistektomi Sonrası Yapılan Üriner Diversiyonların Kısa ve Uzun Dönem Komplikasyonları

Umut GÖNÜLALAN
Murat KOŞAN
Pages
113–118
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Nevertheless, postoperative early and late complications, such as urinary tract infections, pyelonephritis, urinary leakage, stomal stenosis, urolithiasis and morphological changes in the upper urinary tract should be kept in mind.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:One of the strongest predictive factors for the early and late postoperative complications and morbidity of radical cystectomy is the type of urinary diversion following cystectomy.
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Key Findings & Data:Both orthotopic neobladder and ileal conduits are well tolerated options with low morbidity.
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Conclusion & Impact:Nevertheless, postoperative early and late complications, such as urinary tract infections, pyelonephritis, urinary leakage, stomal stenosis, urolithiasis and morphological changes in the upper urinary tract should be kept in mind.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

One of the strongest predictive factors for the early and late postoperative complications and morbidity of radical cystectomy is the type of urinary diversion following cystectomy. In this paper, we reviewed Englishlanguage literature on urinary diversions after cystectomy and their early and late complications. All types of urinary diversions have potential risks of diversion-related metabolic complications, infection, intestinal obstruction and renal deficiency. Although there is no agreement on the ideal urinary diversion, orthotopic neobladder without an external stoma is the most popular type of diversion in appropriate patients due to the protection of body image. Ileal conduit is another frequently selected urinary diversion for elderly patients with comorbidity. Both orthotopic neobladder and ileal conduits are well tolerated options with low morbidity. Nevertheless, postoperative early and late complications, such as urinary tract infections, pyelonephritis, urinary leakage, stomal stenosis, urolithiasis and morphological changes in the upper urinary tract should be kept in mind.

Özet

Radikal sistektomi sonrası uygulanacak üriner diversiyonun tipi postoperatif kısa ve uzun dönemde morbidite için en güçlü belirleyici faktörlerden birisidir. Bu derlemede seçilebilecek üriner diversiyon tipleri ve kısa ve uzun dönem komplikasyonları tartışılmıştır. Bu amaçla radikal sistektomi sonrası üriner diversiyon seçenekleri ve komplikasyonları ile ilgili güncel literatür bilgisi araştırılmıştır. Tüm üriner diversiyon tipleri diversiyon ilişkili metabolik komplikasyonlar, enfeksiyon, barsak obstrüksiyonu ve renal yetmezlik gibi potansiyel komplikasyon risklerini beraberinde getirmektedir. Üriner diversiyon tipleri arasında ideal seçim açısından üzerinde uzlaşılan bir yöntem olmamasına rağmen eksternal stoma gerektirmemesi ve vücut imajını koruması nedeniyle ortotopik neobladder uygun hastalarda oldukça popüler bir yöntemdir. Ayrıca komorbiditesi olan ve ileri yaştaki hastalarda ileal kondüit de sık tercih edilen bir yöntemdir. Gerek ortotopik neobladder gerekse ileal kondüit morbidite açısından iyi tolere edilmektedirler. Buna rağmen bu hastalarda postoperatif kısa dönemde üriner sistem enfeksiyonu, piyelonefrit ve idrar kaçağı, uzun dönemde ise stomal stenoz, ürolityazis ve üst üriner sistem değişiklikler olabileceği akılda tutulmalıdır.

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Cite This Article

GÖNÜLALAN, U., KOŞAN, M. (2016). Early and Late Complications of Urinary Diversions after Radical Cystectomy. Üroonkoloji Bülteni, Cilt: 15 - Sayı: 3, 113–118. https://ajindex.com/articles/334356

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