[Short-term results of radical cystectomy].
The paper presents the results of 114 radical cystectomies made in 1996-2002. The age of 114 patients (103 males, 11 females) ranged from 37 to 78 years (mean age 57.5 years). Transient cell carcinoma was diagnosed in 81.5% patients. Supravesical urine derivation was conducted by means of ureterocutaneostomy and transureteroureteronephrostomy in 9 (7.9%) patients, ureterosygmoanastomosis--in 43 (37.7%) patients, artificial orthotopic urinary bladder was created in 7 (6.1%) patients of a gastric segment and in 55 (48.2%) patients of the ileum. Postoperative complications were observed in 28 (24.6%) patients, intestinal obstruction being a prevailing complication. Five patients died: 2 of pulmonary artery thromboembolism, 1 of acute cardiac failure, 1 of sepsis and 1 of gastric bleeding. Continent methods of urine derivation were preferred, such as ureterosygmoanastomosis by Mainz-Pouch II and creation of orthotopic urinary bladder of the stomach or of the ileum.
Komiakov
B K
BK
Gorelov
S I
SI
Novikov
A I
AI
Gorelov
A I
AI
Guliev
B G
BG
Idrisov
Sh N
ShN
Prokhozhev
A Iu
AIu
Voskresenskiĭ
M A
MA
Sergeev
A V
AV
Fadeev
V A
VA
El' Attar
T Kh
TKh
Ode
M
M
D000328:Adult; D000368:Aged; D002295:Carcinoma, Transitional Cell / Q000175:diagnosis; D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012426:Russia; D013997:Time Factors; D016896:Treatment Outcome; D014547:Urinary Diversion / Q000379:methods; D014549:Urinary Incontinence / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000706:statistics & numerical data