Table 2 Overview of early complications (≤3 months) (pouch and non-pouch-related) by the Clavien–Dindo classification in 119 patients
From: The N-shaped orthotopic ileal neobladder: functional outcomes and complication rates in 119 patients
Clavien–Dindo score (CCS) | Number of complications (%) |
|---|---|
Major | |
V | 1 (0.8 %) |
IV | |
a | 0 (0 %) |
b | 3 (2.5 %) |
III | |
a | 3 (2.5 %) |
b | 8 (6.7 %) |
Minor | |
II | 34 (28.6 %) |
I | 20 (16.8 %) |
Complication | N (%) | CCS | Treatment |
|---|---|---|---|
Early pouch-related complications | |||
Major | |||
Urosepsis | 3 (2.5 %) | IVb | Intensive care |
Ureteroneovesical stenosis | 2 (1.7 %) | IIIb | Re-implantation (1×) Transureteroureterostomy (1×) |
Enteroneovesical fistula | 1 (0.8 %) | IIIb | Open surgery |
Neovesicocutaneus fistula | 1 (0.8 %) | IIIb | Endoscopic examination |
Neobladder bleeding | 1 (0.8 %) | IIIb | Endoscopic examination + Rinsing |
Mucus retention | 1 (0.8 %) | IIIa | Endoscopic examination + Rising |
Minor | |||
Urinary tract infection (pyelonephritis, pouchitis, fever after removal of single-J stents) | 14 (11.8 %) | II | Antibiotics |
Clot retention | 1 (0.8 %) | II | Rinsing + Antibiotics |
Mucus retention | 2 (1.7 %) | I | Rinsing |
Urinoma | 1 (0.8 %) | I | Prolonged drainage |
Early non-pouch-related complications | |||
Major | |||
Death (small bowel perforation resulting in septic shock and myocardial infarction) | 1 (0.8 %) | V | Open surgery (laparotomy) + Intensive care |
Mesenterial bleeding | 1 (0.8 %) | IIIb | Open surgery |
Evisceration | 1 (0.8 %) | IIIb | Open surgery |
Textilloma | 1 (0.8 %) | IIIb | Open surgery |
Peptic ulcer | 1 (0.8 %) | IIIa | Gastroscopy |
Pneumothorax | 1 (0.8 %) | IIIa | Chest drain |
Minor | |||
Pneumonia | 5 (4.2 %) | II | Antibiotics |
Catheter sepsis | 4 (3.4 %) | II | Antibiotics |
Lung embolism | 3 (2.5 %) | II | Low molecular weight heparin |
Ileus | 2 (1.7 %) | II | Total parenteral nutrition (1×) Jejunal catheter (1×) |
Fever (unknown origin) | 1 (0.8 %) | II | Antibiotics |
Back pain | 1 (0.8 %) | II | Epidural infiltration |
Acidosis | 1 (0.8 %) | II | Intravenous bicarbonate |
Deep venous thrombosis | 1 (0.8 %) | II | Low molecular weight heparin |
Wound abscess | 1 (0.8 %) | II | Drainage + Antibiotics |
Wound problems (dehiscence, fat necrosis) | 5 (4.2 %) | I | Vacuum therapy |
Ileus | 5 (4.2 %) | I | Conservative |
Delirium | 3 (2.5 %) | I | Oral medication |
Diarrhea | 3 (2.5 %) | I | Conservative |
Catheter sepsis | 1 (0.8 %) | I | Removal of deep venous catheter |