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一期根治性膀胱切除术及回肠膀胱术的并发症:214例病例回顾

Complications of a single stage radical cystectomy and ileal conduit diversion: review of 214 cases.

作者信息

Johnson D E, Lamy S M

出版信息

J Urol. 1977 Feb;117(2):171-3. doi: 10.1016/s0022-5347(17)58385-8.

DOI:10.1016/s0022-5347(17)58385-8
PMID:833960
Abstract

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.

摘要

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。

相似文献

1
Complications of a single stage radical cystectomy and ileal conduit diversion: review of 214 cases.一期根治性膀胱切除术及回肠膀胱术的并发症:214例病例回顾
J Urol. 1977 Feb;117(2):171-3. doi: 10.1016/s0022-5347(17)58385-8.
2
Complications of single-stage radical cystectomy and ileal conduit.一期根治性膀胱切除术及回肠膀胱术的并发症
Urology. 1981 Feb;17(2):141-6. doi: 10.1016/0090-4295(81)90222-3.
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Complications of ureteroileal conduit with radical cystectomy: review of 336 cases.根治性膀胱切除术后输尿管回肠通道的并发症:336例病例回顾
J Urol. 1980 Dec;124(6):797-801. doi: 10.1016/s0022-5347(17)55669-4.
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Complications of radical cystectomy and correlation with nutritional assessment.根治性膀胱切除术的并发症及其与营养评估的相关性。
Urology. 1986 Mar;27(3):229-32. doi: 10.1016/0090-4295(86)90279-7.
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Selection of the type of urinary diversion in conjunction with radical cystectomy.
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[Urinary diversion following radical cystectomy: ileal conduit or ileal replacement bladder?].[根治性膀胱切除术后的尿流改道:回肠膀胱术还是回肠代膀胱术?]
Urologe A. 1988 May;27(3):158-63.
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The effect of length of ureteral resection on benign ureterointestinal stricture rate in ileal conduit or ileal neobladder urinary diversion following radical cystectomy.根治性膀胱切除术后回肠膀胱术或回肠新膀胱尿流改道中输尿管切除长度对良性输尿管肠吻合口狭窄发生率的影响。
Urol Oncol. 2015 Feb;33(2):65.e1-8. doi: 10.1016/j.urolonc.2014.05.015. Epub 2014 Jul 9.
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Cystectomy for superficial bladder cancer.浅表性膀胱癌的膀胱切除术
Urology. 1981 Nov;18(5):459-63. doi: 10.1016/0090-4295(81)90289-2.
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Radical cystectomy for carcinoma of the bladder in the elderly patient.
J Urol. 1987 Jul;138(1):46-8. doi: 10.1016/s0022-5347(17)42983-1.
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Incidence and risk factors of 30-day early and 90-day late morbidity and mortality of radical cystectomy during a 13-year follow-up: a comparative propensity-score matched analysis of complications between neobladder and ileal conduit.根治性膀胱切除术 13 年随访中 30 天早期和 90 天晚期发病率和病死率的风险因素:新膀胱与回肠导管之间并发症的倾向性评分匹配比较分析。
Jpn J Clin Oncol. 2014 Jul;44(7):677-85. doi: 10.1093/jjco/hyu051. Epub 2014 May 3.

引用本文的文献

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Diagnosis and management of intradiverticular bladder tumours.腔内型膀胱肿瘤的诊断与治疗。
Nat Rev Urol. 2014 Jul;11(7):383-90. doi: 10.1038/nrurol.2014.131. Epub 2014 Jun 17.
2
Perioperative morbidity of radical cystectomy: A review.根治性膀胱切除术的围手术期发病率:综述
Indian J Urol. 2011 Apr;27(2):226-32. doi: 10.4103/0970-1591.82842.
3
The practice of the first check cystoscopy following radiotherapy for the treatment of muscle-invasive (T3N0M0) bladder cancer: a UK national survey.根治性放疗后首次膀胱镜检查治疗肌层浸润性(T3N0M0)膀胱癌的实践:一项英国全国性调查。
Int Urol Nephrol. 2011 Jun;43(2):377-81. doi: 10.1007/s11255-010-9789-5. Epub 2010 Jun 20.
4
Radiotherapy alone or radiochemotherapy with platin derivatives following transurethral resection of the bladder. Organ preservation and survival after treatment of bladder cancer.经尿道膀胱切除术后单纯放疗或联合铂类衍生物进行放化疗。膀胱癌治疗后的器官保留及生存率。
Strahlenther Onkol. 1998 Mar;174(3):121-7. doi: 10.1007/BF03038494.
5
Morbidity and mortality of radical cystectomy (1971-78 and 1978-85).根治性膀胱切除术的发病率和死亡率(1971 - 1978年及1978 - 1985年)
J R Soc Med. 1986 Jul;79(7):395-400. doi: 10.1177/014107688607900706.
6
Continent urinary diversion in childhood: European experience.儿童期可控性尿流改道:欧洲经验
Scand J Urol Nephrol Suppl. 1992;142:82-5. doi: 10.1007/BF00183144.