RESUMEN
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Asunto(s)
Humanos , Masculino , Castración/métodos , Neoplasias de la Próstata Resistentes a la Castración/epidemiología , Consenso , Factores de Riesgo , Sociedades/métodos , Biomarcadores/análisisRESUMEN
Objetivo: La cistectomía radical con derivación urinaria es un procedimiento en el cual la reducción de la morbilidad, una rehabilitación postoperatoria rápida, una estancia hospitalaria reducida y una reducción de costes son difíciles de conseguir. El íleo postoperatorio ha sido identificado como la causa más frecuente de retraso en la recuperación y de una mayor estancia hospitalaria. Con nuestro trabajo, intentamos establecer cuáles podrían ser sus principales causas. Material y métodos: Realizamos 154 cistectomías entre 19902008. Examinamos diferentes variables demográficas y perioperatorias de los pacientes con y sin íleo. Resultados: No se encontró significación estadística al relacionar el íleo con ninguno de los factores estudiados. Conclusiones: El íleo postoperatorio se presenta como una de las complicaciones más frecuentes que ocasionan una estancia hospitalaria prolongada. Se requieren otros estudios detallados que determinen regímenes perioperatorios destinados a reducir esta complicación (AU)
Objective: Radical cystectomy with urinary diversion is a procedure in which a reduction of morbidity, quick postoperative rehabilitation, limited length of stay and cost containment are difficult to achieve. Postoperative ileus has been identified as the most common cause of delayed recovery and prolonged length of stay. With our review, we try to establish the main causes. Material and methods: A total of 154 patients underwent radical cystectomy from 1990 to 2008. We examined demographic and perioperative variables of the patients who did and did not develop ileus. Results: No significant association was found between ileus and all the factors we studied. Conclusions: Postoperative ileus stands out as one of the most frecuent complications that causes increased length of stay. More detailed studies are required to determine perioperative regimens to reduce this complication (AU)
Asunto(s)
Humanos , Ileus/epidemiología , Cistectomía/efectos adversos , Estudios Prospectivos , Complicaciones Posoperatorias/epidemiología , Cuidados Intraoperatorios/métodosRESUMEN
OBJECTIVE: Radical cystectomy with urinary diversion is a procedure in which a reduction of morbidity, quick postoperative rehabilitation, limited length of stay and cost containment are difficult to achieve. Postoperative ileus has been identified as the most common cause of delayed recovery and prolonged length of stay. With our review, we try to establish the main causes. MATERIAL AND METHODS: A total of 154 patients underwent radical cystectomy from 1990 to 2008. We examined demographic and perioperative variables of the patients who did and did not develop ileus. RESULTS: No significant association was found between ileus and all the factors we studied. CONCLUSIONS: Postoperative ileus stands out as one of the most frequent complications that causes increased length of stay. More detailed studies are required to determine perioperative regimens to reduce this complication.
