[Advances in surgical techniques and results of radical cystectomies for bladder cancer. 106 patients].
OBJECTIVE
Retrospective analysis of result of radical cystectomy at Cochin Hospital.


METHODS
We report the results of a 106 patients series treated by radical cystectomy for bladder carcinoma after a 5-year period follow-up.


RESULTS
The extent of the tumour invasion according to pathological analysis was: pT1 or less: 26%, pT2 and pT3a: 33%, pT3b and over: 41%. Morbidity rate was 19% with a 7.5% reintervention rate. Long term complication rate was 31%, concerning essentially ureteral stenosis. A local recurrence or distant metastasis occurred in 35% of patients. Local recurrence rate was 10.7%. Cancer specific survival rates were 88%, 81% and 42% for pT1, pT2-pT3a, and pT3b patients respectively.


CONCLUSIONS
The present results confirm that radical cystectomy is the most effective curative treatment for invasive bladder carcinoma.
Zerbib
M
M
Service d'urologie, Hôpital Cochin, Paris, France.
Thirouard
D
D
Conquy
S
S
Thiounn
N
N
Flam
T
T
Debré
B
B
D000328:Adult; D000368:Aged; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009364:Neoplasm Recurrence, Local / Q000209:etiology*; D009367:Neoplasm Staging; D018579:Patient Selection; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*
Evolution des techniques chirurgicales et résultats des cystectomies à visée curative pour cancer de vessie. A propos de 106 patients.