Our 6 year experience of radical cystectomy Yillik radikal sistektomi deneyimimiz
Marmara Medical Journal, cilt.22, sa.1, ss.1-7, 2009 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 1
- Basım Tarihi: 2009
- Dergi Adı: Marmara Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1-7
- Anahtar Kelimeler: Bladder cancer, Complications, Ileal loop, Radical cystectomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Bladder cancer is the second most common cancer of the urinary tract. Radical cystectomy and urinary diversion are the gold standard treatment for invasive bladder cancer. Patient and Methods: We carried out a retrospective evaluation of 71 patients who had undergone radical cystectomy between January 2002 and January 2008 on the basis of their demographic properties, preoperative and post-operative pathologies, method of urinary diversion and the complications that arose. Results: The mean follow-up was 28.8 months after the operation. The pathologic stage was superficial for 13 patients (18%), T2 for 20 patients (28%), T3 for 25 patients (35%) and T4 for 14 patients (19%). Squamous cell carcinoma was reported in 7 and lymph node metastasis in 24 patients. Postoperative short-term complications were: wound infection in 12, wound eventration in 6, ileus in 3 and a urinary leakage from ureteroileal anastomosis in 2 patients. Additionally, a loop stenosis in I patient and an allergic reaction due to urostomy material in 1 patient were noted. 2 patients died the day after the operation. Conclusion: Radical cystectomy is found to be an effective treatment with low complication rates corresponding to data in the literature.