EMERGING ILEOCYSTOPLASTIC METHOD IN SURGICAL TREATMENT OF BLADDER CANCER
The purpose of the study was to assess the results of surgical treatment of patients with the bladder using an emerging method of ileocystoplasty, to characterize its early and late postoperative complications and postoperative life quality in comparison with the currently used methods. The results of treatment in 237 patients who had undergone a different method ileocystoplasty in a local oncological center were analyzed. Our original method was applied in 48 patients, Studer s - in 19 cases, Brikkers - in 128 and in 42 patients reservoir from nondetubulizied ileum segment was made. The elaborated ileocyctoplasty technique has allowed to reduce the number of late postoperative complications. We have achieved better functional features of neobladder, the volume in 5-6 months after operation was 500-600 ml, hydraulic pressure in neobladder was constant and not more than 18-23 cm water pressure. Out of the total number, 37 (77.1%) patients who underwent ileocystoplasty with our original method were ultimately completely continent. Our original method is simple. It reduces the number of early and late postoperative complications. The proposed alterations to ileocystoplasty method does not result in a oncospecific survival rate reduction in patients who undergo radical cystectomy, but rather allow an improvement in the quality of life in those patients.