[Enterocystoplasty complications at the intensive care setting]

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 dehydratation (3.5%). One death case in multivisceral failure system was noticed. A precocious diagnosis, a good preoperative value, and a preoperative adapted supervision should improve surely the prognosis.