Byström J
Scand J Urol Nephrol. 1978;12(3):233-7. doi: 10.3109/00365597809179723.
The early and late complications of cutaneous uretero-ileostomy in 61 patients are reported. Only complications attributable to the urinary diversion procedure are detailed. The early complications included intestinal obstruction in 4 cases, enterocutaneous fistula in 4, urinary fistula in 6 and wound disruption in 3 cases The surgical mortality was 6.6%. The predominant late complications were uretero-ileal obstruction with progressive hydronephrosis in 14 patients, 8 of whom underwent re-operation. Stomal problems arose in 6 patients and stone in the urinary tract in 5 patients. Full preoperative irradiation and isolated anastomosis between the ureters and the ileal segment increased the frequency of these late complications. Some measures are discussed which may reduce this fairly high complication rate.
报告了61例皮肤输尿管回肠造口术的早期和晚期并发症。仅详细描述了归因于尿流改道手术的并发症。早期并发症包括4例肠梗阻、4例肠皮肤瘘、6例尿瘘和3例伤口裂开。手术死亡率为6.6%。主要的晚期并发症是14例患者出现输尿管回肠梗阻并进行性肾积水，其中8例接受了再次手术。6例患者出现造口问题，5例患者出现尿路结石。术前充分放疗以及输尿管与回肠段之间的孤立吻合增加了这些晚期并发症的发生率。讨论了一些可能降低这种相当高并发症发生率的措施。
