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Total cystectomy for bladder cancer
The Journal of Urology
|June 1, 1981
Summary
Radical cystectomy and urinary diversion effectively treated bladder cancer between 1967-1974. This bladder cancer surgery achieved a 62% 5-year survival rate for transitional cell carcinoma patients.
Area of Science:
- Urology
- Surgical Oncology
- Oncology
Background:
- Bladder cancer presents a significant health challenge.
- Effective surgical interventions are crucial for patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of radical cystectomy and urinary diversion for primary bladder carcinoma.
- To assess survival rates based on tumor stage after surgery.
Main Methods:
- A cohort of 58 patients with primary bladder carcinoma underwent radical cystectomy and urinary diversion.
- No preoperative irradiation was administered.
- Patient outcomes were tracked for 5-year survival rates.
Main Results:
- The overall 5-year survival rate for transitional cell carcinoma was 62%.
- Patients with stage O, A, and B1 tumors had an 80% 5-year survival rate.
- Patients with stage B2 and C tumors had a 50% 5-year survival rate.
- Postoperative mortality was 3.4%.
Conclusions:
- Radical cystectomy and urinary diversion represent a viable treatment for bladder cancer.
- Tumor stage significantly impacts long-term survival following this surgical approach.