Kiesswetter H, Flamm J
Wien Klin Wochenschr. 1987 May 15;99(10):340-5.
A report is presented on 95 ileal conduit operations. Of these cases 16 had either neurogenic bladder disorders or shrunken bladder after radiation therapy and 79 had carcinomas of the bladder without radiotherapy. 19 of the latter patients were treated palliatively with an ileal conduit without cystectomy, whereas the remaining 60 patients underwent ileal conduit including total cystectomy. Early complications were seen in 42% and late complications in 27% of the patients. The 5-year survival rate for all stages of carcinoma was 34% and the 10 years survival rate was 18%. There is a definite relationship between reduced survival rates in cases of increased tumour staging and grading.
本文报告了95例回肠代膀胱手术。其中16例患有神经源性膀胱疾病或放疗后膀胱萎缩,79例患有未经放疗的膀胱癌。后一组患者中有19例接受了姑息性回肠代膀胱术而未行膀胱切除术,其余60例患者接受了包括全膀胱切除术在内的回肠代膀胱术。42%的患者出现早期并发症,27%的患者出现晚期并发症。所有分期的癌症患者5年生存率为34%,10年生存率为18%。肿瘤分期和分级增加的病例生存率降低之间存在明确的关系。