Application of tube gastrostomy in radical cystectomy with ileal conduit: a retrospective, comparative study / 南方医科大学学报

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the clinical results of tube gastrostomy in radical cystectomy and ileal conduit.</p><p><b>METHODS</b>We retrospectively analyzed the data of 98 patients undergoing radical cystectomy and ileal conduit between March 2007 and February 2010. According to postoperative gastrointestinal decompression methods, the patients were divided into nasogastric decompression group (n=50) and tube gastrostomy group (n=48), and the gastrointestinal recovery time, surgical complications and hospital stay were compared between them.</p><p><b>RESULTS</b>No statistical difference was found in gastrointestinal recovery time, hospital stay, or surgical complications between the two groups, but the incidence of pulmonary infection was significantly lower in tube gastrostomy group than in nasogastric decompression group (P<0.05).</p><p><b>CONCLUSION</b>Tube gastrostomy is an easy, safe and effective means for gastric decompression after radical cystectomy with ileal conduit, especially suitable for elderly patients and those with potential pulmonary disorder.</p>