Cystectomy and urinary diversion during twenty years--complications and metabolic implications.
A retrospective analysis of 130 cases of cystectomy and urinary diversion for bladder carcinoma was performed. A logistic regression analysis found preoperative irradiation to be associated with early complications (p = 0.014), whereas no such association was observed with late complications. Metabolic evaluation in 51 surviving patients revealed hyperchloremia in 17 patients (33%) and hyperchloremic acidosis in 2 cases (4%). Vitamin B12 deficiency was found in 11 patients (22%), all of whom had preoperative irradiation or reservoir procedures performed. Routine evaluation of vitamin B12 serum levels should be carried out at follow-up in these groups of patients.
Jahnson
S
S
Department of Urology, Oerebro Medical Center, Sweden.
Pedersen
J
J
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D015653:Cystectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011183:Postoperative Complications; D011878:Radiotherapy / Q000009:adverse effects; D012044:Regression Analysis; D012189:Retrospective Studies; D015996:Survival Rate; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D014547:Urinary Diversion