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膀胱移行细胞癌的主要论题之一是根治性膀胱切除的价值和正确时间,反对者认为该手术既致残又有危险,然而在手术死亡率几乎为零的今天,他们的意见已日趋下风。可控性尿流改道和全膀胱替代,保存性功能的技术及术后阳萎的治疗已使膀胱切除者有正常生活的机会。因此,治愈率成为决定根治性膀胱切除术的最重要标准。作者将1967～1985年间246例膀胱切除术分成3组:A组为确诊浸润癌或多灶原位癌后即期手术(159例),B组为浸润性膀胱癌作TUR术后一次或多次复发后作膀胱切除(61例),C组为肯定性放疗失败后作挽救性膀胱切除(26例)。结果表明
One of the main themes of bladder transitional cell carcinoma is the value and the correct time of radical cystectomy. Opponents believe that the operation is both disabling and dangerous. However, their opinion has become increasingly improbable when the surgical mortality rate is almost zero. Controlled urinary diversion and replacement of the entire bladder, preservation of sexual function techniques, and postoperative impotence treatment have given cystectomy an opportunity for normal life. Therefore, the cure rate has become the most important criteria in determining radical cystectomy. The authors divided 246 cases of cystectomy from 1967 to 1985 into three groups: Group A is the immediate operation after the diagnosis of invasive carcinoma or multifocal carcinoma in situ (159 cases), and Group B is an operation of TUR after invasive bladder cancer or multiple After relapse, cystectomy was performed (61 cases). In group C, salvage cystectomy was performed after failure of positive radiotherapy (26 cases). The results show