title: Single-stage salvage cystectomy: results and complications in 20 patients.
abstract: Twenty patients with bladder carcinoma underwent total cystectomy and one-stage urinary diversion after a definitive external radiotherapy. The indication for surgery was a persistent or locally recurrent tumor and/or intractable voiding symptoms. There was no operative mortality. Early or late complications occurred in 14 patients (70%) and in 7 of these cases a reoperation was necessary. The overall 5-year survival rate after the operation was 61%. The prognosis of the patients was dependent on the pathological stage of the tumor in cystectomy specimens.
authors.affiliation: Department of Surgery, University of Turku, Finland.
authors.forename: M
authors.initials: M
authors.lastname: Nurmi
authors.forename: R
authors.initials: R
authors.lastname: Valavaara
authors.forename: P
authors.initials: P
authors.lastname: Puntala
authors.forename: T
authors.initials: T
authors.lastname: Ekfors
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D012086:Reoperation; D013997:Time Factors; D001743:Urinary Bladder / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D014547:Urinary Diversion