Journal List > Korean J Urol > v.48(12) > 1004837

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Jung, Cho, and Lee: Risk Factors of Ileus following Radical Cystectomy
Original Article
Korean Journal of Urology

Korean Journal of Urology 2007; 48(12): 1236-1241.

Published online: 31 December 2007

DOI: https://doi.org/10.4111/kju.2007.48.12.1236

Risk Factors of Ileus following Radical Cystectomy

Hae Won Jung, Sung Tae Cho, Young Goo Lee

Department of Urology, College of Medicine, Hallym University, Seoul, Korea.

Corresponding author (uroyglee@hanafos.com)

Received 3 August 2007       Accepted 10 September 2007

Copyright © 2007 The Korean Urological Association

Abstract

Purpose

Ileus is the most common complication following radical cystectomy. Ileus causes prolonged fasting, significant patient discomfort and prolongation of the hospital stay. We retrospectively examined the risk factors for ileus following radical cystectomy.

Materials and Methods

Between January, 2000 and June, 2007, 59 patients underwent radical cystectomy with urinary diversion at our institution. 30 patients underwent creation of an ileal conduit and 29 patients underwent orthotopic bladder substitution with using ileum. Ileus was defined as the persistent absence of flatus on postoperative day 7 or the generalized findings of ileus on simple abdominal film. The potential risk factors were analyzed between the ileus and non ileus groups, including the patient's age and gender, the American Society of Anesthesiologists score, the preoperative serum albumin level, prior abdominal surgery, the operative time, combined operation, the estimated blood loss, the type of urinary diversion, use of N2O, use of intestinal stapler, complications, the ICU stay and the pathologic stage and grade.

Results

24% (14/59) of patients had postoperative ileus. The difference of the ASA score between the two groups was statistically significant (p=0.03). Patients with ileus (67.5±7.2) were older than the non-ileus patients (63.0±9.4) (p=0.103). Ileus was more frequent in men (29.5%, 13/44) than in women (6.6%, 1/15) (p=0.09).

Conclusions

Ileus following radical cystectomy was more frequent in patients with a high ASA score. Older aged men tend to have ileus after radical cystectomy.

Keywords: Intestinal obstruction, Cystectomy, Bladder cancer

Figures and Tables

Table 1
Comparison of the patients' risk factors between the ileus and non-ileus groups
kju-48-1236-i001

Values given as mean±SD (range) and n. ASA: American Society of Anesthesiologists

Table 2
Comparison of the patients' gender between the ileus and non-ileus groups according to the ASA score
kju-48-1236-i002

ASA: American Society of Anesthesiologists

Table 3
Comparison of the patients' ASA score between the ileus and non-ileus groups according to age
kju-48-1236-i003

ASA: American Society of Anesthesiologists

Table 4
Postoperative complications (except ileus & wound infection)
kju-48-1236-i004

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