Introduction and objective: Radical cystectomy with Iymphadenetomy and urinary diversion is the gold standard for muscle invasive bladder cancer. The ileal orthotopic bladder substitute has gained increasing popularity in recent years. the authors report surgical outcomes in patients (pts) with ileal reconstructed during 5 years from 1-2008 to 12-2012 at Cho Ray hospital. Patients and Method: Retrospective, case series. T2-T4a bladder cancer pts underwent open or laparoscopic radical cystectomy and orthotopic ileal neobladder reconstructed using Hautmann or Studer technique or ileal conduit diversion with Bricker technique. Froozen section biopsied margins for staging. the authors evaluate early outcomes of the operation. Results: Total 124 pts. Male/female: 108/16; Mean age: 59 yo (25-84). Open operations 114 (91.9 percent), laparoscopic operations 10 (8.1 percent). Reconstruction of ileal neobladder using Hautmann account for 50 cases (40.3 percent), Studer 59 cases (47.6 percent) and Bricker 15 cases (12.1 percent). Mean open operation time: 355.3 minutes. Mean blood loss: 475.4 ml. Mean Hospital stay: 15.3 + or - 7.4 days. Urine leakage and wound infection: 8 cases (6.4 percent), mortality: 2 cases (1.6 percent). Conclusion: Radical cystectomy following by reconstruction of ileal neobladder in treatment of bladder cancer is a difficult operation in urolory but can be performed safely and effectively.
- Đăng nhập để gửi ý kiến