[Acute peritonitis after radical cystectomy. Experience at our hospital and bibliographic review].
OBJECTIVE
The characteristics of the patients may favour the appearance of complications. Taking into account the high morbimortality of the process, we believe that is convenient knowing main features of acute peritonitis in postoperatory in our surgical area.


METHODS
We have retrospectively studied the radical cystectomies having postoperative peritonitis. Variables considered can be classified in four main categories: patient physiology, operation, peritonitis and morbimortality.


RESULTS
During considered time, 9 of 80 cystectomies showed complications related with peritonitis (11,25%). Except one patient, 44-year-old, all others where 50-year-old or older males. 5 surgeries were curative and 4 palliative. 5 of the peritonitis appeared during first week. Initial mechanism was dehiscence, necrosis or hypertension (6.2 and 1 respectivelly). In 6 patients, origin was ureteroileal anastomosis, 2 intestinal anastomosis and I cutaneous ureterostomy. 3 of 9 patients died due to peritonitis.


CONCLUSIONS
The incidence of intra-abdominal complications during the immediate post operative period of radical cystectomy is high and, often, difficult to diagnose. In patients subjected to this surgery as a palliative method, possibility of showing complications is higher. To correct this medical profile, early intervention is fundamental, determining patient prognosis.
Navarro Gil
Joaquin
J
Servicio de Urología, Servicio de Cirugía General, Hospital Clinico Universitario "Lozano Blesa", Zaragoza, España. telonman@hotmail.com
Sánchez Zalabardo
José Manuel
JM
Salinas Payer
José Carlos
JC
Bustamante Rodríguez
Raquel
R
Valdivia Uría
José Gabriel
JG
D000208:Acute Disease; D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology*; D012189:Retrospective Studies