膀胱切除术后原位膀胱替代和回肠膀胱术治疗膀胱癌的局部复发
Local recurrence of bladder cancer after cystectomy with orthotopic bladder substitution and ileal conduit.
作者信息
Pejcic T, Hadzi-Djokic J, Acimovic M, Markovic B, Maksimovic H, Milkovic B, Kajmakovic B
机构信息
Clinical Center of Serbia, Institute for Urology and Nephrology, Belgrade.
出版信息
Acta Chir Iugosl. 2007;54(4):63-7. doi: 10.2298/aci0704063p.
OBJECTIVE
To present the local recurrence rates after radical cystectomy for advanced bladder cancer and to compare them between patients with orthotopic neobladder and ileal conduit.
PATIENTS AND METHODS
97 patients with radical cystectomy were analyzed: 75 patients with orthotopic ileal neobladder, operated from 1985. to 2006, and 22 patients with ileal conduit, operated from 2000. to 2006.
RESULTS
Overall recurrence rate was 41.3% in the neobladder group, and 50% in the ileal conduit group. The rate of pelvic, upper urinary tract and urethral recurrence was 13.3%, 8%, and 10.6% in the neobladder group, and 9.1%, 13.6% and 9.1% in the ileal conduit group.
CONCLUSION
Comparable recurrence rates, operative time, the complexity of the surgical technique and the results between two groups, strongly support the construction of orthotopic neobladder, as superior in functional, esthetic, and psychological point of view.
目的
介绍晚期膀胱癌根治性膀胱切除术后的局部复发率，并比较原位新膀胱患者和回肠膀胱患者的局部复发率。
患者与方法
分析97例行根治性膀胱切除术的患者：75例原位回肠新膀胱患者，手术时间为1985年至2006年；22例回肠膀胱患者，手术时间为2000年至2006年。
结果
新膀胱组的总体复发率为41.3%，回肠膀胱组为50%。新膀胱组盆腔、上尿路和尿道的复发率分别为13.3%、8%和10.6%，回肠膀胱组分别为9.1%、13.6%和9.1%。
结论
两组的复发率、手术时间、手术技术复杂性及结果相当，有力支持原位新膀胱的构建，因为从功能、美观和心理角度来看其更具优势。
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