Bladder Cancer Management through conventional surgery in Solca, experience 2012-2017.

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Published

2018-12-30

How to Cite

De La Rosa Villao, F., Ibarra Burbano, R., Espinoza, M. D., Wong Achi, X., & Ulloa Ochoa, P. (2018). Bladder Cancer Management through conventional surgery in Solca, experience 2012-2017. Oncology Journal (Ecuador), 28(3), 210–218. https://doi.org/10.33821/253

Issue

Vol. 28 No. 3 (2018): December - March

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Original Articles

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Copyright (c) 2018 Francisco De La Rosa Villao, Raúl Ibarra Burbano, María Daniela Espinoza, Xavier Wong Achi, Paul Ulloa Ochoa

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Authors

  • Francisco De La Rosa Villao Instituto Oncológico Nacional “Dr. Juan Tanca Marengo”, Solca-Guayaquil, Servicio de Cirugía General-Urología.
  • Raúl Ibarra Burbano Postgrado de Cirugía General de la Universidad de Especialidades “Espíritu Santo” (UESS). Samborondón, Ecuador. https://orcid.org/0000-0002-9423-0784
  • María Daniela Espinoza Postgrado de Cirugía General de la Universidad de Especialidades “Espíritu Santo” (UESS). Samborondón, Ecuador.
  • Xavier Wong Achi Postgrado de Cirugía General de la Universidad de Especialidades “Espíritu Santo” (UESS). Samborondón, Ecuador.
  • Paul Ulloa Ochoa Postgrado de Cirugía General de la Universidad de Especialidades “Espíritu Santo” (UESS). Samborondón, Ecuador.

DOI:

https://doi.org/10.33821/253

Keywords:

URINARY BLADDER, CISTECTOMY, NEOPLASIAS OF THE URINARY BLADDER

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.

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