Volume : VII, Issue : I, January - 2017

An Analysis Of Morbidity And Mortality Following Radical Cystectomy In The Treatment Of Invasive Bladder Cancer

Dr G V Charan Kumar, Dr. Ramreddy Ch, Dr. Rahul Devraj, Dr. Jaheer Abbas Shaik, Dr. S. Vidyasagar, Dr. Pvgs Prasad

Abstract :

 

Aim’s & Objectives:

To analyse morbidity and mortality in patients with muscle invasive bladder cancer after radical cystectomy.

Patients and Methods:

A total  of 46 patients who underwent  radical cystectomy between April  2010 to August 2015 at Nizam’s Institute Of Medical Sciences – Hyderabad were included in this retrospective study. Data regarding tumor stage before surgery was retrieved from data base. Tumor staged using the Tumors–Node–Metastasis classification system. Radical cystectomy was done for histologically proven muscle invasive cases on transurethral resection of bladder tumor. Mean followup period is 31 months. Patients were divided into node–positive and node negative groups and analysed to assess the survival.

Results:

Among 46 patients included in our study mean age is 60±5 years. 36.9% of patients presented with early complications like wound dehiscence(19.5%), pelvic collection (13%) and burst abdomen (4.3%) . During follow–up with mean follow up period of 31 months distant metastasis was noted in 8.6% of patients, 4.3% with pelvic recurrence and 2.1% with ureteric stricture. Survival in node–negative group was 80%  and in node–positive group was 52%.

Conclusion:

Radical cystectomy remains the main stay of treatment in muscle–invasive bladder cancer. Complications and survival are better with bladder confined disease compared to non organ confined disease. This is relatively safe procedure with minimal morbidity and mortality in selected patients.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr G V Charan Kumar, Dr.Ramreddy Ch, Dr.Rahul Devraj, Dr.Jaheer Abbas Shaik, Dr.S.Vidyasagar, Dr.PVGS Prasad, An Analysis Of Morbidity And Mortality Following Radical Cystectomy In The Treatment Of Invasive Bladder Cancer, Indian Journal of Applied Research,Volume : 7 | Issue : 1 | JANUARY 2017


Number of Downloads : 297


References :

<p><pre></pre></p>