Short Term Outcomes of Salvage Cystectomy

Purpose: Salvage cystectomy is performed when recurrences or treatment failures occur or curative treatment for bladder cancer is not possible . In this article, we aimed to present our experience of salvage cystectomies in light of current literature. Material and Methods: Folders of patients under...

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Main Authors: Hakan Ercil, Adem Altunkol, Ferhat Ortoglu, Nevzat Can Sener, Faruk Kuyucu, Zafer Gokhan Gurbuz
Format: Article
Language:English
Published: Cukurova University 2014-02-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=38827
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author Hakan Ercil
Adem Altunkol
Ferhat Ortoglu
Nevzat Can Sener
Faruk Kuyucu
Zafer Gokhan Gurbuz
author_facet Hakan Ercil
Adem Altunkol
Ferhat Ortoglu
Nevzat Can Sener
Faruk Kuyucu
Zafer Gokhan Gurbuz
author_sort Hakan Ercil
collection DOAJ
description Purpose: Salvage cystectomy is performed when recurrences or treatment failures occur or curative treatment for bladder cancer is not possible . In this article, we aimed to present our experience of salvage cystectomies in light of current literature. Material and Methods: Folders of patients underwent salvage cystectomy between August 2011 and May 2013 were compared according to demographics, pre and post operative pathology reports, complicatons and types of urinary divertion. Results: Mean follow-up was 10,3 (3-20,8) months. When pathologies were compared by peroperative transurethral resection (TUR), 2 (18.1%) patients were T1, 8 (%72.7) patients were T2, 1 (9%) patient was T4; pathology specimens following cystectomy was T2 in 4 (36.3%), T3 in 3 (27.2%) and T4 in 4 (36.3%) patients. 1 patient had squamous cell carcinoma, 2 patients had lymph node metastasis. 1 patient suffered from bleeding, one patient sufferd from ileal extravasation, 1 suffered from urine extravasation and one patient suffered from infection in early postoperative period (<90 days). 2 patients had anastomosis stricture after 90 days. 2 patients had to be managed by radiotherapy because of recurrent mass and metastasis. One patient died because of cardiopulmonary issues and one patient died from cirrhosis. Conclusion: Even though it is associated with higher risk of complications, salvage cystectomy can be performed with acceptable morbidity and mortality rates.
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spelling doaj.art-4f92b20d43a041f898a4bd0751ffa9a02023-02-15T16:22:20ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502014-02-01391919838827Short Term Outcomes of Salvage CystectomyHakan Ercil0Adem Altunkol1Ferhat Ortoglu2Nevzat Can Sener3Faruk Kuyucu4Zafer Gokhan Gurbuz5Adana Numune Egitim ve Arastirma Hastanesi Adana Numune Egitim ve Arastirma Hastanesi Adana Numune Egitim ve Arastirma Hastanesi Adana Numune Egitim ve Arastirma Hastanesi Adana Numune Egitim ve Arastirma Hastanesi Istanbul Haseki Egitim ve Arastirma HastanesiPurpose: Salvage cystectomy is performed when recurrences or treatment failures occur or curative treatment for bladder cancer is not possible . In this article, we aimed to present our experience of salvage cystectomies in light of current literature. Material and Methods: Folders of patients underwent salvage cystectomy between August 2011 and May 2013 were compared according to demographics, pre and post operative pathology reports, complicatons and types of urinary divertion. Results: Mean follow-up was 10,3 (3-20,8) months. When pathologies were compared by peroperative transurethral resection (TUR), 2 (18.1%) patients were T1, 8 (%72.7) patients were T2, 1 (9%) patient was T4; pathology specimens following cystectomy was T2 in 4 (36.3%), T3 in 3 (27.2%) and T4 in 4 (36.3%) patients. 1 patient had squamous cell carcinoma, 2 patients had lymph node metastasis. 1 patient suffered from bleeding, one patient sufferd from ileal extravasation, 1 suffered from urine extravasation and one patient suffered from infection in early postoperative period (<90 days). 2 patients had anastomosis stricture after 90 days. 2 patients had to be managed by radiotherapy because of recurrent mass and metastasis. One patient died because of cardiopulmonary issues and one patient died from cirrhosis. Conclusion: Even though it is associated with higher risk of complications, salvage cystectomy can be performed with acceptable morbidity and mortality rates.http://www.scopemed.org/fulltextpdf.php?mno=38827Salvage cystectomyBladder carcinomaExperience
spellingShingle Hakan Ercil
Adem Altunkol
Ferhat Ortoglu
Nevzat Can Sener
Faruk Kuyucu
Zafer Gokhan Gurbuz
Short Term Outcomes of Salvage Cystectomy
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Salvage cystectomy
Bladder carcinoma
Experience
title Short Term Outcomes of Salvage Cystectomy
title_full Short Term Outcomes of Salvage Cystectomy
title_fullStr Short Term Outcomes of Salvage Cystectomy
title_full_unstemmed Short Term Outcomes of Salvage Cystectomy
title_short Short Term Outcomes of Salvage Cystectomy
title_sort short term outcomes of salvage cystectomy
topic Salvage cystectomy
Bladder carcinoma
Experience
url http://www.scopemed.org/fulltextpdf.php?mno=38827
work_keys_str_mv AT hakanercil shorttermoutcomesofsalvagecystectomy
AT ademaltunkol shorttermoutcomesofsalvagecystectomy
AT ferhatortoglu shorttermoutcomesofsalvagecystectomy
AT nevzatcansener shorttermoutcomesofsalvagecystectomy
AT farukkuyucu shorttermoutcomesofsalvagecystectomy
AT zafergokhangurbuz shorttermoutcomesofsalvagecystectomy