The cystectomy with substitute enterocystoplasty because of the bladder can
cer is a surgical technique which is the origin of several problems that th
e medicosurgical team faces. The aim of this study is to evaluate the posto
perative complications of this surgical technique. We have realized a retro
spective study of 56 patients hospitalized in intensive care service betwee
n 1994 and 1997. The complications observed were dominated by postoperative
peritonitis (5.2%), urinary fistula (3.5%), digestive fistula (1.7%). Othe
r general complications were recorded as pneumopathy (3.5%), digestive hemo
rrhage (1.7%) and deshydratation (3.5%). One death case in multivisceral fa
ilure system was noticed. A precocious diagnosis, a good preoperative value
, and a peroperative adapted supervision should improve surely the prognosi
s. (C) 2001 Editions scientifiques et medicales Elsevier SAS.