Postoperative Complications of Ileal Conduit Urinary Diversion

Choi, Ho Seeng; Lee, Kang Hyun; Park, Hae Young

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 1994. 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 other reports. For the late complications, stromal stenosis comprised 1% and the formation of calculi 3%. These number 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.