A system analysis of effect of bowel preparation on postoperative complications of patients undergoing radical cystectomy with ileal conduit diversion

VernacularTitle:肠道准备对全膀胱切除尿流改道术后并发症影响的系统分析
Author: Xiaoju ZHOU ; Weihua FU ; Wengang HU ; Anjing WANG
Keywords: cystectomy; ileal conduit; urinary diversion; bowel preparation; complication; system analysis
From: Journal of Regional Anatomy and Operative Surgery 2017;26(5):352-358
CountryChina
Language:Chinese
Abstract: Objective To compare the impact of bowel preparation on postoperative complications of patients undergoing radical cystectomy(RC) with ileal conduit diversion(ICD) by meta-analysis.Methods All literature were collected from VIP,CNKI,WanFang Data,CBMdisc,Pubmed,Medline,Embase dated from inception to April 2016.Then literature were grouped into mechanical bowel preparation and nonmechanical bowel preparation,whose differences in the wound,intestinal function,infection and other complications were compared.Results Three RCTs,four cohort studies and 656 cases were taken into account.No statistical difference was observed in the wound infection,wound dehiscence,fascia dehiscence,intestinal obstruction,anastomosis fistula,intestinal fistula,urinary leakage,death of indicators between the two groups.Conclusion Preoperative mechanical bowel preparation did not reduce the occurrence of postoperative complications of the patients with RC undergoing ICD.