Follow-up of Bladder Cancer with Total Cystectomy / 대한비뇨기과학회지

ABSTRACT

A total of 26 consecutive patients underwent total cystectomy and ileal conduit for bladder cancer, 6 patients without preoperative radiation therapy, 16 patients after planned preoperative radiation therapy and 4 patients with postoperative radiation therapy. The operative death was none. Early complications occurred in 38% and included wound infection, wound disruption, parastromal dermatitis, acute pyelonephritis, intestinal obstruction and urine leak. Late complications included stromal stenosis, intestinal obstruction, acute pyelonephritis, enterocutaneous fistula, peritonitis and ureteroileal stricture. Errors in clinical staging of bladder carcinoma occurred in about 38% of patients. The pathologic stage was higher (clinical understaging) in 6 (23%), and lower (clinical overstaging) in 4 (15%). Deaths during follow-up were 7 patients and the average survival period was 15 months, with a range of 6 to 38 months.