Résumé
The records of fifty two cases of the ileal conduit at the Seoul National University Hospital during a 6-year period from January 1, 1975 to December 31, 1980 were reviewed. 1. There were 42 males and 10 females (ratio of 4.2:1) ranged in age from 5 to 74 years with peak incidence in the 6th decade. 2. The most common indication of this procedure was bladder tumor and other indications were neurogenic bladder, bilateral ureteral stricture, genitourinary tuberculosis, actinomycosis, urethral stricture. urethral cancer and colon cancer. 3. Seventy seven percent of patients with abnormal renal function preoperatively improved postoperatively. 4. Operative mortality was 3.8%. Early complication included wound infection and disruption, sepsis, obstruction and urine leakage in ileoureteral junction, pneumonia, fecal leakage from ileoileal junction, postoperative acute renal failure, bleeding from ileal loop, and urethral bleeding. Late complication included intestinal obstruction, parastromal dermatitis, acute pyelonephritis, ureteral obstruction and incisional hernia. 5. Thirty three of 43 patients developed bacteriuria, 30.3% of the patients showed mixed infection and major causative organisms were Pseudomonas, Enterobacter, E. coli and Serratia.
Sujets)
Femelle , Humains , Mâle , Actinomycose , Atteinte rénale aigüe , Bactériurie , Co-infection , Tumeurs du côlon , Sténose pathologique , Dermatite , Enterobacter , Hémorragie , Hernie , Incidence , Occlusion intestinale , Mortalité , Pneumopathie infectieuse , Pseudomonas , Pyélonéphrite , Séoul , Sepsie , Serratia , Tuberculose , Uretère , Obstruction urétérale , Tumeurs de l'urètre , Sténose de l'urètre , Tumeurs de la vessie urinaire , Vessie neurologique , Dérivation urinaire , Infection de plaieRésumé
A Clinical observation on 20 cases of ureteroileocutaneostomy was made who had been admitted to the Dept. of Urology from March 1, 1973 to August 31, 1977. 1. The most common underlying disease was bladder carcinoma, and only one case was neurogenic bladder. 2. Among the patients only one case was undertaken original Bricker's operation, and the others were by the modified conjoined ureteroileocutaneostomy. 3. Major complications were incisional hernia, ureteroileal obstruction, sepsis and stoma hernia with ureteral obstruction. 4. In the patient with unilateral ureteroileal obstruction, hypertension was corrected after nephrectomy.