Lobel B, Guillé F
Service d'urologie, CHRU Hôpital Pontchaillou, Rennes.
Rev Prat. 1997 Feb 15;47(4):388-91.
Surgical treatment of transitional bladder tumours is based on liberal resection of the bladder. After cystectomy, reconstitution of the urinary tract is required for urinary excretion and patient comfort. The bladder can be replaced by a segment of intestine detached from the digestive tract. Another mean is urinary diversion at the abdominal wall by a direct or continent fistula. The patient should be seen 6 weeks after surgery to assess the quality of the surgical assemblage, the absence of distension of the upper urinary tract and the degree of patient comfort. Subsequently, the patient should be seen every 6 months. Early treatment of bladder cancer leads to cure at 5 years in 50 to 75% of cases.
膀胱移行性肿瘤的手术治疗基于膀胱的广泛切除。膀胱切除术后，为了实现尿液排泄并提高患者舒适度，需要重建尿路。膀胱可以用一段从消化道分离的肠段来替代。另一种方法是通过直接或可控性瘘在腹壁进行尿流改道。术后6周应检查患者，以评估手术组合的质量、上尿路有无扩张以及患者的舒适度。随后，患者应每6个月接受检查。膀胱癌的早期治疗在50%至75%的病例中可使患者在5年后治愈。
