Universität zu Köln

Pfister, David and Niegisch, Guenter (2020). Bladder cancer - complications related to urinary diversion. Aktuelle Urol., 51 (5). S. 456 - 463. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8820

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Abstract

Even today, radical cystectomy with urinary diversion is one of the most complicated procedures in uro-oncology. Particularly in the long-term course, but also perioperatively, problems caused by urinary diversion play a significant role. Perioperatively, gastrointestinal problems such as an ileus, but also infections and early complications of the different anastomoses are most important. While ileus and perioperative infections can usually be treated conservatively, failure of the intestinal or ureteroileal anastomoses require regular surgical revisions. In the long-term follow-up, scarring can lead to chronic obstruction of urinary flow and, in the case of continental urinary diversions, to stone formation. These complications, as well as parastomal hernias in patients with poor conduits, may require further therapy. Functional bowel disorders may impair patients' quality of life significantly. Improved preoperative preparation and accompanying measures during the inpatient stay can significantly reduce non-surgical complications. Cystectomy with therapy-associated morbidity is a classical example of when surgery must be performed at specialised centers to reduce complications perioperatively as well as in follow-up.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfister, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Niegisch, Guenter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-322024
DOI:	10.1055/a-1134-6642
Journal or Publication Title:	Aktuelle Urol.
Volume:	51
Number:	5
Page Range:	S. 456 - 463
Date:	2020
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8820
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ASSISTED RADICAL CYSTECTOMY; SHORT ILEAL SEGMENT; URETEROENTERIC STRICTURES; ORTHOTOPIC NEOBLADDER; RISK-FACTORS; URETEROILEAL ANASTOMOSIS; INFECTIOUS COMPLICATIONS; PARASTOMAL HERNIA; METAANALYSIS; PREDICTORS Multiple languages Urology & Nephrology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32202