الفهرس | Only 14 pages are availabe for public view |
Abstract Back ground: To compare between orthotopic detubularized ileocaecal pouch versus ileal neobladder (Y pouch) after radical cystectomy for invasive urinary bladder cancer (continence and morbidity). Patients and methods: Patients presenting to the National cancer institute-Cairo university from March 2014 to April 2015; Acid base disturbance and metabolic acidosis were measured in 31 patients with orthotopic detubularized ileocaecal pouch versus 31 patients with ileal neobladder (Y pouch) with mean follow up every 2 months for 1 year postoperative. Results: The mean ±SD duration of the surgical procedure measured in hours was (2.3±0.5) hours with median 2 hours. The mean ±SD intraoperative blood loss in cc was (519.7±80.0) cc with median 500.0cc in group A. The mean ±SD duration of the surgical procedure measured in hours was (3.8±0.5) hours with median 4 hours. The mean ±SD intraoperative blood loss in cc was (566.1±67.6) cc with median 550.0cc in group B. In ileal neobladder (Y pouch), mild metabolic acidosis was noticed in seven patients (25.9%) in comparison to nine patients (32.1%) in orthotopic detubularized ileocaecal pouch with no significant changes between both groups |