Uso de reservorio continente tipo Indiana posterior a cistectomía radical por cáncer invasor de vejiga

The experience in the accomplishment of the Indiana continent urinary reservoir at the General Hospital of Mexico in patients after cistectomy because of invasive bladder cancer is here given. Material and methods: We performed 24 Indiana continent urinary reservoir in 17 men and 7 women at the General Hospital of Mexico, from January 1995 to September 1997. The age average was of 49.2 years old. An evaluation of the surgical time, immediate, mediate, and late complications, the capacity and functionality of the reservoir and the integration of the patient to social life was done. Results: The basic disease was bladder cancer. The average surgery time was of 5.5 hours to perform cistectomy and the pouch. The most frequent complications, immediate, mediate and late ones were: urinary infection in 5 patients (20.8%), metabolic acidosis in 3 patients (12.5%), we had a case of total necrosis of the pouch, 1 case of lithiasis in the reservoir 1 dehiscence of the uretero-colonic anastomosis and two septic shocks, the functionality of the reservoir was evaluated clinical radiological and urodynamically. Conclusions: The Indiana continent urinary reservoir is a good alternative in patients who underwent cistectomy. The skillfulness of the technique diminishes the surgical time employed and the complications in important figures.