The Immediate Results of Surgical Treatment of Bladder Cancer

ORIGINAL ARTICLE
Alexei L. Charyshkin, PhD, ScD¹; Denis A. Matorkin²; Vladimir P. Demin, PhD¹

¹Institute of Medicine, Ecology and Physical Education of Ulyanovsk State University, Ulyanovsk; ²Lipetsk Regional Oncology Center, Lipetsk; the Russian Federation

Corresponding author: Prof. Alexei L. Charyshkin, PhD, ScD, Head of the Faculty Surgery Department, Institute of Medicine, Ecology and Physical Education, Ulyanovsk State University, Ulyanovsk, the Russian Federation. E-mail: charyshkin@yandex.ru

Published: June 20, 2016.  DOI: 10.21103/Article6(2)_OA3

Abstract: 

The objective of this study was to evaluate the immediate results of the use of ureterointestinal anastomosis according to the Bricker technique at  radical cystectomy (RC) for  bladder cancer (BC).

Materials and Results: The study included 96 patients (11.5% women and 88.5% men) with bladder cancer (BC), aged from 31 to 74 years (mean age 63.8±7.2), who underwent RC in the Lipetsk Regional Oncology Center, in the period from 2005 to 2014. Among the early postoperative complications, we identified dynamic ileus (16.7%), inflammatory complications of the surgical wound (12.5%), acute pyelonephritis (10.4%), and failure of ureterointestinal anastomosis (4.2%). The frequency of postoperative acute pyelonephritis corresponded to the findings of other authors. Two (2.1%) patients died from early postoperative complications because of concomitant diseases (ischemic heart disease, myocardial infarction); thus, postoperative mortality in the early postoperative period was 4.2%. Chronic pyelonephritis with chronic renal failure detected in 15(15.6%) patients after one year after surgery was the most frequent late postoperative complication. The stricture of ureterointestinal anastomosis in 9(9.4%) patients has been eliminated through relaparotomy and resection of anastomosis. The development of urolithiasis in 12(12.5%) patients after one year after surgery has required the implementation of contact lithotripsy and litholytic therapy. 

Keywords: 
bladder cancer; radical cystectomy; ureterointestinal anastomosis; postoperative complications
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Int J Biomed. 2016;6(2):110-113. © 2016 International Medical Research and Development Corporation. All rights reserved.