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February 1974

Simple Cystectomy in the Management of Bladder Carcinoma

Author Affiliations

St. Louis
From the Department of Surgery, Division of Urology, Washington University School of Medicine, St. Louis.

Arch Surg. 1974;108(2):190-191. doi:10.1001/archsurg.1974.01350260046010

Cystectomy was performed for management of carcinoma of the urinary bladder in a series of 307 patients. Urinary diversion was performed by ureterosigmoidostomy in 78, and ileal loop diversion in 229 patients. A five-year survival rate of 31.0% in the ureterosigmoidostomy series and 36.2% in the ileal loop series was obtained. A surprising number of patients, in whom penetration through the entire bladder wall had occurred, survived the five years (approximately 30%). Simple cystectomy remains a valuable tool in the management of carcinoma of the urinary bladder.

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