Total Cystectomy for Bladder Cancer -102 Cases-.
- Author:
Sung Won LEE
;
Sung Choon LEE
- Publication Type:Original Article
- Keywords:
bladder tumor;
total cystectomy
- MeSH:
Carcinoma, Transitional Cell;
Cystectomy*;
Humans;
Incidence;
Mortality;
Survival Rate;
Tomography, X-Ray Computed;
Urinary Bladder Neoplasms*;
Urinary Bladder*;
Urinary Diversion;
Wound Infection
- From:Korean Journal of Urology
1986;27(6):859-864
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Between Jan. 1971 and Dec. 1985, 102 consecutive patients underwent total cystectomy and urinary diversion for primary carcinoma of the bladder. Among the patients, planned radiation therapy (2,000 rad. for 5 days) followed by operation was done in 18 patients, therapeutic dose of radiation was given postoperatively in 8 patients and 76 patients underwent operation only The postoperative mortality rate was 3.9%. Early complications occurred in 30% of the 102 patients and included wound infection, urine leak, bowel obstruction and medical complication. An increased late complication incidence was noted among 26 patients receiving pre- or postoperative radiation (50%) compared with those not receiving radiation (32%). Staging errors by CT scanning occurred in 37% of patients, overstaging in 8 (33%) and understaging in 1 (4%). Survival was evaluated in 45 patients and the overall 5-yesr survival rate for patients with transitional cell carcinoma was 38%.
