38 -7 (57) 2023 — Boltaev M.I., Tillyashaikhov M.N. — EVALUATION OF THE RESULTS OF EXTRAPERITONEAL RADICAL CYSTECTOMY

EVALUATION OF THE RESULTS OF EXTRAPERITONEAL RADICAL CYSTECTOMY

Boltaev M.I., Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology Bukhara Branch Uzbekistan

Tillyashaikhov M.N., Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology “RSNPMTSOiR” of the Republic of Uzbekistan

Iskandarova I.M. Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

To evaluate the immediate results of radical cystectomy performed by extraperitoneal access in patients with invasive bladder cancer.79 patients with invasive bladder cancer stage T2-3N0-2M0, aged 63.2±4.3 years, were examined. Extraperitoneal access according to the technique developed by us with a standard dissection of the pelvic lymph nodes. Systematization of postoperative complications according to the Clavien-Dindo classification showed that mild complications (grades I and II) were observed in 8.9% of cases, grade III – in 11.4%, grade IV – in 6.3% and grade V – in 5.1%. The average life expectancy of patients after surgery was 71.6 months, local recurrence developed in 4 (2.2%) patients, and distant metastases subsequently developed in 13 (7.2%) patients. Radical cystectomy performed by extraperitoneal access is a safe and reliable surgical approach that has certain functional advantages in terms of early restoration of intestinal motility in the postoperative period, which helps to reduce the incidence of intestinal obstruction and, associated with it, the need for repeated operations.

Key words: bladder cancer, radical cystectomy, extraperitoneal approach.

First page

225

Last page

229

For citation: Boltaev M.I., Tillyashaikhov M.N., Iskandarova I.M. – EVALUATION OF THE RESULTS OF EXTRAPERITONEAL RADICAL CYSTECTOMY //New Day in Medicine 2023 7(57): 225-229 https://newdaymedicine.com/index.php/2023/07/31/l-282/

LIST OF REFERENCES:

  1. European Association of Urology. Guidelines 2022 edition.
  2. Savin Z. et al. Radical cystectomy and perioperative chemotherapy in octogenarians with bladder cancer. // Canadian Urological Association Journal. 2021;15:9. 
  3. Sung L.H., Yuk H.D. Enhanced recovery after surgery of patients undergoing radical cystectomy for bladder cancer. // Translational Andrology and Urology. 2020;9(6):29-86. 
  4. Soleimani, Mohammad, et al. Extra-Peritoneal versus Trans-Peritoneal Open Radical Cystectomy – Comparison of Two Techniques in Early Post-Operative Complications. // Urology Journal 2020: 6147-6147. 
  5. Kulkarni JN, Agarwal H. Transperitoneal vs. extraperitoneal radical cystectomy for bladder cancer: A retrospective study. // Int. Braz. J. Urol. 2018;44(2):296-303. doi:10.1590/S1677-5538.IBJU.2017.0441.
  6. М.И.Болтаев, М.Н.Тилляшайхов, Н.М.Рахимов, И.М.Искандарова «Comparative Characteristies of the Direct Results of Extraperitoneal and Transperitoneal Access in the Surgial Tretment of Bladder Cancer. (Сравнительная характеристика непосредственнқх результатов экстраперитонеальных и трансперитонеальных доступов в хирургическом лечении рака мочевого пузыря). //Annаls of R.S.C.B., ISSN:1583-6258, 2021;25(3):4794-4802.
  7. М.И.Болтаев, М.Н.Тилляшайхов, Н.М.Рахимов, И.М.Искандарова. Экстраперитонеальный хирургический доступ при радикальной цистэктомии обусловленной раком мочевого пузыря. //Журнал «Вестник врача» г. Самарканд 2021;3(100):14-20.

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