Johnson D E, Lamy S M
J Urol. 1977 Feb;117(2):171-3. doi: 10.1016/s0022-5347(17)58385-8.
Single stage radical cystectomy and ileal conduit diversion were performed on 214 patients for treatment of bladder carcinoma. The over-all operative mortality rate was only 3.3 per cent. Early complications occurred in 27.6 per cent of the patients and late complications were noted in 41.1 per cent of the patients followed 6 months or longer. We refute recent arguments for staged procedures as a necessity for reducing operative mortality and morbidity.
对214例膀胱癌患者实施了一期根治性膀胱切除术及回肠膀胱改道术。总体手术死亡率仅为3.3%。27.6%的患者出现早期并发症,在随访6个月或更长时间的患者中,41.1%出现晚期并发症。我们反驳了近期关于分期手术是降低手术死亡率和发病率的必要手段的观点。