KẾT QUẢ PHẪU THUẬT CẮT TOÀN BỘ BÀNG QUANG VÀ DẪN LƯU NƯỚC TIỂU THEO PHƯƠNG PHÁP BRICKER ĐIỀU TRỊ UNG THƯ BÀNG QUANG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2019 - 2024

Abstract

Objectives: To describe the results of total cystectomy and the ileal conduit diversion (bricker) to treat bladder cancer at Viet Duc University Hospital in the period 2019 - 2024. Methods: Cross-sectional descriptive study. Results: Of the 60 patients who underwent total cystectomy and ileal conduit diversion (bricker) to treat bladder cancer at Viet Duc University Hospital in the period 2019 - 2024, 91.7% were male. The average age of the patients was 62.1 ± 9.3 years. Preoperative imaging diagnosis: 20 patients (33.4%) had tumors in stage T2,3a, 38 patients (63,3%) had tumors in stage T3b, 2 patients (3,3%) had tumors in stage T4. The average surgery time of the patients was 226.75 ± 57.0 minutes. In which, the patient had the shortest surgery time of 112 minutes and the longest of 374 minutes.After total cystectomy and urinary diversion by Bricker method for cancer, 66.7% of patients had good surgical results and 33.3% of patients had average surgical results. No patient had poor surgical results. After surgery, 58.1% of patients felt self-conscious and afraid to communicate because of the smell of urine. 67.4% of patients continued to work normally. Conclusion: Total cystectomy and urinary diversion Bricker method is a safe surgical procedure and ensures the principle of radical treatment for patients with muscle-invasive bladder cancer and brings good postoperative quality of life.