Skip to main content

Advertisement

Log in

Zystektomie und Blasenteilresektion in der Behandlung des Harnblasenkarzinoms

Total cystectomy and partial resection of the bladder in the treatment of urinary bladder cancer

  • Originalien
  • Published:
Acta chirurgica Austriaca Aims and scope Submit manuscript

Zusammenfassung

87 Patienten mit einem Urothelkarzinom der Harnblase wurden einer offenen Operation unterzogen. Das sind 13.6% aller in diesem Zeitraum behandelten Blasenkarzinome. Bei 37 Patienten wurde eine Blasenteilresektion durchgeführt, bei 50 Patienten eine Zystektomie mit Ileumconduit. Die 5-Jahres-Überlebensrate nach Blatsenteilresektion betrug 42% (11/26) und 36% (13/36) nach Zystektomie.

Summary

Transabdominal operations were performed on 87 patients with urinary bladder carcinoma (13.6% of all cases observed during the same period). Partial bladder resection was performed on 37 patients. The 5-year survival rate was 42% (11/26). Total cystectomy was performed in 50 patients, the 5-year survival rate was 36% (13/36).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  1. Altwein, J. E., Klotz, T., Jacobi, G. H.: Stellenwert der Blasenresektion zur Therapie des Blasentumors. Akt. Urol. 11, 351 (1980).

    Article  Google Scholar 

  2. Bauer, K. M., Oswald, M. G.: Wert und Grenzen der Blasenrteilresektion beim Harnblasenkrebs. Med. Welt 17, 106 (1967).

    Google Scholar 

  3. Brannan, W., Ochsner, M. G., Whitehead, D. M., Rosenkrantz, D.: Cystectomy and segmental resection for primary carcinoma of the bladder: experience at Ochsner clinic 1942–1968. South. Med. J. 66, 241 (1973).

    Article  CAS  PubMed  Google Scholar 

  4. Bredael, J. J., Croker, B. P., Glenn, J. F.: The curability of invasive bladder cancer treated by radical cystectomy. Europ. Urol. 6, 206 (1980).

    CAS  Google Scholar 

  5. Brice, M. H.: Radical total cystectomy for cancer of the bladder: 10 years later. In: Fifth national cancer conference proceedings, p. 303. J. B. Lippincott Co., Philadelphia, 1965.

    Google Scholar 

  6. Burkert, S., Glantschnig, W., Kiesswetter, H.: Indikation, Technik und Ergebnisse der kutanen Uretero-Ileostomie (sogenannte Bricker-Blase). Wien. med. Wschr. 48, 677 (1976).

    Google Scholar 

  7. Burkert, S., Kiesswetter, H.: Zur Technik der Ureteroileostomie (Eigenie Modifikation der Methode Wallaces I). Wien. med. Wschr. 21, 670 (1977).

    Google Scholar 

  8. Burnham, J. P., Farrer, J.: A group experience with ureteral ileal-cutaneous anastomosis for urinary diversion: results and complications of the isolated ileal conduit (Bricker procedure). J. Urol. 83, 622 (1960).

    CAS  PubMed  Google Scholar 

  9. Cordonnier, J.: Simple cystectomy in the management of bladder carcinoma. Arch. Surg. 108, 190 (1974).

    Article  CAS  PubMed  Google Scholar 

  10. Cox, C. E., Cass, A. S., Boyce, W. H.: Bladder cancer: a 26-year review. J. Urol. 101, 550 (1969).

    CAS  PubMed  Google Scholar 

  11. Cummings, K.B., Mason, J. T., Correa, R. J., Gibbons, R. P.: Segmental resection in the management of bladder carcinoma. J. Urol. 119, 56 (1978).

    CAS  PubMed  Google Scholar 

  12. Esch, W., Rummelhardt, S.: Blasenteilresektion beim fortgeschrittenen Blasenkarzinom. Helv. Chir. Acta 49, 459 (1973).

    Google Scholar 

  13. Evans, R. A., Texter, J. H.: Partial cystectomy in the treatment of bladder carcinoma. J. Urol. 114, 391 (1975).

    CAS  PubMed  Google Scholar 

  14. Glantz, G. M.: Cystectomy and urinary diversion. J. Urol. 96, 714 (1966).

    CAS  PubMed  Google Scholar 

  15. Haschek, H., Schimatzek, A., Vedrilla, D.: Indikation und Ergebnisse der Blasenteilresektion beim Blasenkarzinom. Helv. chir. Acta 40, 453 (1973).

    CAS  PubMed  Google Scholar 

  16. Jewett, H. J., King, L. R., Shelley, W. M.: A study of 365 cases of infiltration bladder cancer: relations of certain pathological characteristics to prognosis after extirpation. J. Urol. 92, 668 (1964).

    CAS  PubMed  Google Scholar 

  17. Long, R. T. L., Grummon, R. A., Sprath, J. S. Perez-Mesa, C.: Carcinoma of the urinary bladder (Comparison with radical, simple and partial Cystectomy and intravesicals formalin). Cancer 29, 98 (1972).

    Article  CAS  PubMed  Google Scholar 

  18. Magri, J.: Partial cystectomy: a review of 104 cases. Brit. J. Urol. 34, 74 (1962).

    CAS  PubMed  Google Scholar 

  19. Merell, R.W., Brown, H. E., Rose, J. F.: Bladder carcinoma treatment by partial cystectomy: a review of 54 cases. J. Urol. 122, 471 (1979).

    Google Scholar 

  20. Miller, L. S.: Bladder cancer: superiority of praoperative irradiation and cystectomy in clinical stages B 2 and C. Cancer, Suppl. 2, 39, 973 (1977).

    Article  CAS  PubMed  Google Scholar 

  21. Novick, A. C., Stewart, B. H.: Partial cystectomy in the treatment of primary and secondary carcinoma of the bladder. J. Urol. 116, 570 (1976).

    CAS  PubMed  Google Scholar 

  22. Pearse, H. D., Pappas, J. T., Hodges, C. V.: Radical cystectomy for bladder cancer, 10 years survival. J. Urol. 109, 623 (1973).

    CAS  PubMed  Google Scholar 

  23. Resnick, M. I., O'Connor, V. J. Segmental resection for bladder carcinoma, review of 102 patients. J. Urol. 109, 1007 (1973).

    CAS  PubMed  Google Scholar 

  24. Richie, J. P., Skinner, D. G., Kaufmann, J. J.: Radical cystectomy for carcinoma of the bladder, 16 years of experience. J. Urol. 113, 187 (1975).

    Google Scholar 

  25. Schoborg, T. W., Sapolsky, J. L., Lewis, C. W.: Carcinoma of the bladder treated by segmental resection. J. Urol. 122, 473 (1979).

    CAS  PubMed  Google Scholar 

  26. Skinner, D. G., Crawford, E. D., Kaufmann, J. J.: Complications of radical cystectomy for carcinoma of the bladder. J. Urol. 123, 640 (1980).

    CAS  PubMed  Google Scholar 

  27. UICC, International Union Against Cancer: TNM classification of malignant tumours, 3, edition. Genf 1978.

  28. Utz, D. C., Schmitz, S. E., Fugelso P. D., Farrow, G. M.: A clinicopathological evaluation of partial cystectomy for carcinoma of the urinary bladder. Cancer 32, 1075 (1973).

    Article  CAS  PubMed  Google Scholar 

  29. Wajsmann, Z., Merrin, C., Moore, R., Murphy, G. P.: Current results from treatment of bladder tumours with total cystectomy at Roswell Park Memorial Institute. J. Urol. 113, 806 (1975).

    Google Scholar 

  30. Wallace, D. M., Bloom, H. J. G.: The management of deeply infiltrating (T3) bladder carcinoma: Controlled trial of radical cystectomy versus preoperative radiotherapy and radical cystectomy (first report). Brit. J. Urol. 48, 577 (1976).

    Article  Google Scholar 

  31. WHO, World Health Organisation: International histological classification of tumors No 10, histological typing of urinary bladder tumours. Genf 1973.

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Flamm, J. Zystektomie und Blasenteilresektion in der Behandlung des Harnblasenkarzinoms. Acta Chir Austriaca 16, 65–70 (1984). https://doi.org/10.1007/BF02656212

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02656212

Navigation