Flamm J, Kiesswetter H
Wien Klin Wochenschr. 1987 Jan 23;99(2):58-9.
A retrospective study is presented of 19 patients with inoperable urinary bladder carcinoma in which urinary diversion was performed by ileal conduit without cystectomy. The postoperative mortality rate was 10.5% and the incidence of complications was 16%. The average time of survival was 5.1 months and varied from between one and 23 months. According to the literature these results are no better than those in patients undergoing no therapy at all. It is, thus, our opinion that palliative ileal conduit should not be considered a suitable method for urinary diversion in patients with advanced carcinoma of the urinary bladder.
本文报告了一项对19例无法手术切除的膀胱癌患者的回顾性研究,这些患者通过回肠导管进行尿流改道而未行膀胱切除术。术后死亡率为10.5%,并发症发生率为1 6%。平均生存时间为5.1个月,范围在1至23个月之间。根据文献,这些结果并不比完全不接受治疗的患者更好。因此,我们认为姑息性回肠导管不应被视为晚期膀胱癌患者尿流改道的合适方法。