Clinical Study on Bladder Tumor Patients with Total Cystectomy.
- Author:
Kun Do KIM
1
;
Soo Eung CHAI
Author Information
1. Department of Urology, School of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
bladder tumor;
cystectomy
- MeSH:
Adhesives;
Aged, 80 and over;
Carcinoma, Squamous Cell;
Carcinoma, Transitional Cell;
Carcinosarcoma;
Constriction, Pathologic;
Cystectomy*;
Dermatitis;
Diagnosis;
Female;
Follow-Up Studies;
Humans;
Ileus;
Intestinal Pseudo-Obstruction;
Male;
Middle Aged;
Pyelonephritis;
Tomography, X-Ray Computed;
Urinary Bladder Neoplasms*;
Urinary Bladder*;
Urinary Diversion;
Wound Infection
- From:Korean Journal of Urology
1987;28(3):357-362
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A total of 28 consecutive patients underwent total cystectomy and urinary diversion from May, l978 to April, l986. The range of patient age was from 46 years old to 84 years old. The sex of patients was 24 in male and 4 in female. Histopathological diagnosis of specimen was transitional cell carcinoma in 25 cases, squamous cell carcinoma in 2 cases and carcinosarcoma in a case. Accuracy rate of clinical staging by pelvic CT scanning was low as 44%, clinical overstaging was 44% and clinical understaging was l2%. Early complication after cystectomy was occurred in l4 cases as wound infection, paralytic ileus, parastomal dermatitis, etc. Late complication was occurred in 8 cases as acute pyelonephritis, stomal stenosis, renal function deterioration and adhesive ileus. Mean follow up period of survival patients was 35.2 months with a range from 4 months to 96 months. Deaths during follow up were 8 patients and the average survival period was 20.6 months.
