R.V. Savchuk, А.N. Кolosov

Tне risk of metabolik acidosis in patients geriatric group of patients after radical cystectomy and heterotopic plastic

The bladder cancer incidence, in Ukraine accounts 5 thousand new cases and 2.3 thousand cases of bladder cancer morbidity annualy. The aim was to assess the metabolic changes in elderly and senile group of patients after radical cystectomy with heterotopic urinary diversion by Bricker. The analysis of results was made in treatment of 52 patients who underwent radical cystectomy with urinary derivation by Bricker. The selective study of acid-base status in 22 patients was performed for detection of clinical manifestations of hyperchloremic acidosis. Bases (BE) were within -2,45±0,20 (p<0.05), blood pH - 7,360±0,001 (p <0.001). Operation by Bricker is the best method of urine derivation in elderly and senile group of patients with contraindications to orthotopic plastics.