Abstract
Introduction: Bladder cancer is the most common of the pathologies of the urinary tract. The importance of the study lies in the surgical management of patients with this type of bladder neoplasms that in certain cases with early diagnosis are usually curative. The surgical technique used according to the histological type of patients with bladder cancer in this report was the main objective of this study.
Methods: This is a retrospective study, carried out from January 2012 to July 2017, in which the clinical histories of patients diagnosed with bladder cancer treated at the Oncology Urology Service of the National Oncological Institute "Dr. Juan Tanca Marengo ", Solca-Guayaquil. Patients operated on within the institution were included, with diagnosis of bladder cancer who underwent radical cystectomy plus Bricker or Neovejiga. Patients with oncologically inoperable bladder cancer were excluded, clinical cases with lack of complete information in the clinical history, with incomplete diagnostic tests. A descriptive statistical analysis was performed with percentages.
Results: 89 cases were included in the study, 53 (59.6%) were men, 16 patients (18%) with Low-Grade Infiltrating Bladder Cancer (CABILAPRO), 1 patient (1.1%) with Low-grade Bladder Cancer Infiltrant to Muscular (CABIMUS), 5 patients (5.6%) with High-Grade Infiltrating Bladder Laminal Cancer (CALAPRO) and 63 patients (70.8%) with High-Grade Infiltrating Muscle Bladder Cancer (CALMUS), Cancer High Grade Infiltrant to Perivesical Fat Bladder 3 (3.4%), of which local recurrence after treatment by CALMUS 13 (14.6%), 1 rhabdosarcoma. Surgical treatment of CALMUS 18 surgeries Bricker and 7 Neo-bladders orthotopic. TURb was performed in 50 patients (56.2%).
Conclusion: Bricker surgery was performed in less than a quarter of the study population, TURb surgery was the most prevalent.