Resection of the pelvic tumors with bladder invasion through trans-bladder approach
10.3760/cma.j.issn.1000-6702.2013.11.009
- VernacularTitle:经膀胱入路行膀胱受侵的复杂盆腔肿瘤切除临床效果观察
- Author:
Gangcheng WANG
;
Guangsen HAN
;
Yingkun REN
;
Yongchao XU
;
Yong CHENG
;
Youchai WANG
- Publication Type:Journal Article
- Keywords:
Complicated pelvic neoplasms;
Multiorgan resection;
Bladder
- From:
Chinese Journal of Urology
2013;34(11):836-838
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the trans-bladder operative approach in resection of the complicated pelvic tumors with bladder invasion.Methods Twelve patients with complicated pelvic tumors were analyzed from Oct.2007 to Oct.2010.There were 8 males and 4 females.Patient's age was ranging from 35 to 65 years.There were 3 patients with tumor diameter from 10 to 16 cm and 9 patients with tumor diameter greater than 16 cm.All the tumors were located in the pelvic and the stage of all tumors was T4N0M0.The technology of trans-bladder to approach the lower edge of the pelvic tumor and then retrograde up to remove the tumor out of the presacral tissue,pelvic wall,and pelvic organ was applied.The length of hospital stay,operative time,blood loss,death during peri-operative period and the post-operative survival were analyzed retrospectively.Results The median operative time was 126 (110-150) min.The median blood loss was 521 (300-1200) ml.The median hospital stay was 22 (14-28) d.No patient died after surgery.Ten patients were followed up for 6 to 48 months.Three cases died of metastasis or recurrence.Conclusion With the trans-bladder operative approach,the resection of pelvic retroperitoneal tumors is effective and safe.
