Our 6-year experience in radical cystectomy
Keleş, Muzaffer Oğuz
Karaman, M. İhsan
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Objective: Bladder cancer is the second most common cancer of the urinary tract. Radical cystectomy and urinary diversion is the gold standard treatment model of invasive bladder cancer. Patient and Methods: We evaluated 71 patients who underwent radical cystectomy, retrospectively according to their demographic properties, pre-operative and post-operative pathologies and method of urinary diversion and the complications between January 2003 and 2008. Results: Mean follow-up was 28.8 months after the operation. The pathologic stage was superficial at 13 patients (18%), T2 at 20 patients (28%), T3 at 25 patients (35%) and T4 at 14 patients (19%). Squamous cell carcinoma was reported in 7 and lymph node metastasis was in 24 patients. Postoperative short-term complications were wound infection in 12, wound eventration at 6, ileus in 3 and urinary leakage form ureteroileal anastomosis in 2 patients. Additionally, loop stenosis in 1 patient and allergic reaction due to urostomy material in 1 patient were noted. 2 patients died at the same time day after the operation. Conclusion: Radical cystectomy is found to be effective treatment modality with low complication rates parallel to the data in the literature.