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Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences

Anton Maričić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Maksim Valenčić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Romano Oguić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Dražen Rahelić ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Kristian Krpina ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia
Mauro Materljan ; Department of Urology, University Hospital of Rijeka, Rijeka, Croatia

Puni tekst: engleski, pdf (68 KB) str. 223-228 preuzimanja: 515* citiraj
APA 6th Edition
Maričić, A., Valenčić, M., Oguić, R., Rahelić, D., Krpina, K. i Materljan, M. (2010). Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences. Collegium antropologicum, 34 supplement 2 (2), 223-228. Preuzeto s https://hrcak.srce.hr/51663
MLA 8th Edition
Maričić, Anton, et al. "Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences." Collegium antropologicum, vol. 34 supplement 2, br. 2, 2010, str. 223-228. https://hrcak.srce.hr/51663. Citirano 16.06.2021.
Chicago 17th Edition
Maričić, Anton, Maksim Valenčić, Romano Oguić, Dražen Rahelić, Kristian Krpina i Mauro Materljan. "Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences." Collegium antropologicum 34 supplement 2, br. 2 (2010): 223-228. https://hrcak.srce.hr/51663
Harvard
Maričić, A., et al. (2010). 'Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences', Collegium antropologicum, 34 supplement 2(2), str. 223-228. Preuzeto s: https://hrcak.srce.hr/51663 (Datum pristupa: 16.06.2021.)
Vancouver
Maričić A, Valenčić M, Oguić R, Rahelić D, Krpina K, Materljan M. Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences. Collegium antropologicum [Internet]. 2010 [pristupljeno 16.06.2021.];34 supplement 2(2):223-228. Dostupno na: https://hrcak.srce.hr/51663
IEEE
A. Maričić, M. Valenčić, R. Oguić, D. Rahelić, K. Krpina i M. Materljan, "Radical Surgical Treatment of the Urinary Bladder Cancer in Patients Over the Age of 60 – Our Experiences", Collegium antropologicum, vol.34 supplement 2, br. 2, str. 223-228, 2010. [Online]. Dostupno na: https://hrcak.srce.hr/51663. [Citirano: 16.06.2021.]

Sažetak
The goal of the paper was the analysis of patients over the age of 60 suffering from the urinary bladder cancer that underwent radical surgical treatment of the urinary bladder and establishing urine derivation. In the 1972–2008 period 2405 patients with the urinary bladder cancer were treated, 296 (12.3%) of whom underwent radical surgical treatment. The average age was between 60 and 80 years – in 207 (70%) patients. In our patients there were 190 patients (91.6%) with transitional cell cancers. According to TNM classification, T3 stage in 92 (44.4%) patients and T2 stage in 85 (41%) patients were predominant in our study. According to histological criteria, the most common stage was G3 stage – in 151 (73%) patients. Radical cystectomy or combined with urethrectomy was performed in 178 (86%) patients. Unfortunately, in 12% of them (T3 and T4 stages) the inner iliac blood vessels were tied off due to a progressive cancer. The outer supravesical urine derivation (Bricker, U-tubing nephrostomy, and ureterocutaneostomy) was done in 163 (78.7%) patients. The inner derivation (Coffey, ureteroileosigmoidostomy, Mainz-Pouch II) was performed in 17 (8.2%) patients and neovesica (Hautmann, Studer) in 24 (11.5%) patients. There were 74 (35.7%) patients with early postoperative complications. Among them the most dominant were the surgical complications – in 28 (13.5%) patients and distant organ complications – in 22 (10.6%) patients. In 75 (36%) patients with negative nodes the survival rate was 55% after five years. In 73 (35%) patients with positive nodes the survival rate was 27% after five years.

Ključne riječi
urinary bladder neoplasm; cystectomy; urinary diversion; incontinent ileostomy

Hrčak ID: 51663

URI
https://hrcak.srce.hr/51663

Posjeta: 758 *