Clinical Observation on 18 Cases of Total Cystectomy / 대한비뇨기과학회지

ABSTRACT

Clinical observation was made on 18 cases of total cystectomy who had been admitted to the Department of Urology, Chonnam University Medical School from November 1966 to August 1976. The results were as follows 1. The age of the patients ranged from 27 to 67 years, most common in sixth decade. Male patients were more common than female ones. 2. The underlying diseases for total cystectomy were bladder tumors in 15 cases, urethral carcinoma in 1, prostatic carcinoma in 1 and prostatic sarcoma in 1. 3. The methods of urinary diversion and remodeling of the urinary tract were ileal conduit in 9 cases, cutaneous ureterostomy in 2, cutaneous transureteroureterostomy in 1, rectal bladder in 3, ureterosigmoidourethrostomy in 2 and ureteroileourethrostomy in 1. 4. Complication was followed immediately as hematoma in cystectomized site, pulmonary edema, severe metabolic acidosis, mechanical ileus, prolonged paralytic ileus, wound disruption, conduit bleeding, stricture of ureteroileal anastomosis site and uncontrolled hiccup and later as incisional hernia, ileal invaginstion and stomal stricture, in 10 cases. 5. There were two operative death (11%) 3 and 4 days postoperatively, respectively.