Cystectomy and Urinary Diversion during Twenty Years - Complications and Metabolic Implications
- 1 January 1993
- journal article
- Published by Elsevier in European Urology
- Vol. 24 (3) , 343-349
- https://doi.org/10.1159/000474326
Abstract
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.Keywords
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