Nurmi M, Valavaara R, Puntala P, Ekfors T
Department of Surgery, University of Turku, Finland.
Eur Urol. 1989;16(2):89-91. doi: 10.1159/000471543.
Twenty patients with bladder carcinoma underwent total cystectomy and one-stage urinary diversion after a definitive external radiotherapy. The indication for surgery was a persistent or locally recurrent tumor and/or intractable voiding symptoms. There was no operative mortality. Early or late complications occurred in 14 patients (70%) and in 7 of these cases a reoperation was necessary. The overall 5-year survival rate after the operation was 61%. The prognosis of the patients was dependent on the pathological stage of the tumor in cystectomy specimens.
20例膀胱癌患者在明确的体外放疗后接受了全膀胱切除术和一期尿流改道术。手术指征为持续性或局部复发性肿瘤和/或难治性排尿症状。无手术死亡病例。14例患者（70%）发生了早期或晚期并发症，其中7例需要再次手术。术后总体5年生存率为61%。患者的预后取决于膀胱切除标本中肿瘤的病理分期。
