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Evaluation of operative stress after radical cystectomy and intestine conduit based on selected biochemical parameters
Article published in Urologia Polska 2004/57/4.

authors

Jolanta Hasiak 1, Zbigniew Wolski 2
1 Katedra i Klinika Anestezjologii i Intensywnej Terapii Akademii Medycznej w Bydgoszczy
Kierownik katedry i kliniki: prof. AM dr hab. Krzysztof Kusza
2 Katedra i Klinika Urologii Akademii Medycznej w Bydgoszczy
Kierownik katedry i kliniki: prof. AM dr hab. Zbigniew Wolski

keywords

surgical stress, catabolism, cystectomy, ileal neobladder

summary

aim
The purpose of the present study was to evaluate the early catabolic postoperative period in patients subjected to cystectomy with intestine conduit basing on selected bio-chemical parameters and comparison among patients with ileal conduit and ileal neoblad-der.
Prospective study included 19 patients (9 women and 10 men) aged 37-74 years, subjected to extensive urological operations with the usage of ileum. In 18 patients cystectomy was performed because of bladder carcinoma and in 1 patient bladder cirrhosis. The patients were devided into groups depending on 1) method of urinary diversion, 2) sex and 3) age. All patients had their glucose, urea, creatinine, aminoacids, cortisol and IL-6 in arterial blood evaluated five times.
Age and sex of the patients as well as method of urinary diversion had no influence on the present results. There were no significant differences but for creatinine, urea and glutamine concentrations.
results
The results indicate that intensity of catabolism during the early postoperative period after cystectomy is similar and does not depend on sex, age of the patients and method of urinary diversion.

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correspondence

Jolanta Hasiak
Klinika Anestezjologii i Intensywnej Terapii AM
ul. Skłodowskiej-Curie 9
85-094 Bydgoszcz
tel. (0 52) 585 47 50