Abstract

DE LA CONCEPCION GOMEZ, Octavio et al. Cistectomía parcial y cáncer vesical. Rev Cubana Cir [online]. 1997, vol.36, n.1, pp. 47-52. ISSN 1561-2945.

Partial cystectomy is a surgical technique frequently used in our environment for the resolution of bladder neoplasms. During 1970s a great deal of medical papers were published in which the efficacy of and the indications for this technique were assessed. The latter being well established. International trends have evolved during the last 10 years towards radical surgery and the replacement of the bladder. The experience gained during these years up to the present has made many authorities in this matter to question about the utility of being so agressive with these patients, reducing the quality of their lifes, and to discover that patients may develop local recurrences despite such agressive treatment. With the aim of knowing the survival in 5 years of patients who underwent a partial cystectomy and who did not received adjuvant therapy, subjects operated on by this technique for primary bladder neoplasms during 1984 and 1985 at the Urology Department of "Calixto García" hospital were assessed. In addition, the operative mortality rate and surgical complications are shown and compared to the ones of other studies published. The operative mortality rate was of 9.09 %, and the main cause of death was found to be the upper digestive bleeding. The gross survival rate was 59 % at 5 years, and patients presenting with the best survival rate had tumors in T1 and T2 stages with differentiation degrees between G-I and G-II. It is concluded that partial cystectomy is a useful alternative for the primary treatment of bladder neoplasms and that its efficacy increases with the use of adjuvant therapies and with a good preoperative tumor staging

Keywords : CYSTECTOMY [methods]; BLADDER NEOPLASMS [surgery]; POSTOPERATIVE COMPLICATIONS [mortality]; DISEASE-FREE SURVIVAL; RETROSPECTIVE STUDIES.