15-year's experience on the management of bladder cancer by radical cystectomy and ileal conduit (report of 196 cases)
- VernacularTitle:全膀胱切除回肠膀胱术15年总结(附196例报告)
- Author:
Lian SUN
;
Hang WANG
;
Guomin WANG
- Publication Type:Journal Article
- Keywords:
Bladder neoplasms;
Radical cystectomy;
Urinary diversion
- From:
Chinese Journal of Urology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the long term efficacy of radical cystectomy and ileal conduit in the treatment of bladder cancer. Methods 196 cases of bladder tumor treated from Jan. 1985 to Jan. 2000 with radical cystectomy and ileal conduit for urinary diversion were studied retrospectively. Results Bladder neck or trigone was involved by the neogrowth in 126(64.3%).The growth has been invasive in 145(74.0%). 93.4%(183/196) of the tumor were transitional cell carcinoma. Early operative complication occurred in 19(9.7%) and late complication in 10(7.4%).On following up for 1 to 15 years with a mean of 6.6 years,the 5 year survival rate has been 66.2%. Conclusions Radical cystectomy is the optimal in treating invasive bladder tumor and ileal conduit is a good means of urinary diversion which is simple with minimal complications.