Enterocystoplasty complications in intensive care service.

The cystectomy with substitute enterocystoplasty because of the bladder cancer is a surgical technique which is the origin of several problems that the medicosurgical team faces. The aim of this study is to evaluate the postoperative complications of this surgical technique. We have realized a retrospective study of 56 patients hospitalized in intensive care service between 1994 and 1997. The complications observed were dominated by postoperative peritonitis (5.2%), urinary fistula (3.5%), digestive fistula (1.7%). Other general complications were recorded as pneumopathy (3.5%), digestive hemorrhage (1.7%) and deshydratation (3.5%). One death case in multivisceral failure system was noticed. A precocious diagnosis, a good preoperative value, and a peroperative adapted supervision should improve surely the prognosis. (C) 2001 Editions scientifiques et medicales Elsevier SAS.