Korean J Urol.
1986 Dec;27(6):853-858.
Radical Cystectomy with Pelvic Lymphadenectomy in Bladder Tumor: Review of 14 Cases
- Affiliations
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- 1Department of Urology, Catholic medical College, Seoul, Korea.
Abstract
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A clinical observation was made on 14 patients of bladder tumor who were treated by radical cystectomy with pelvic lymphadenectomy in the Department of Urology, Catholic Medical College during the period from March, 1984 to July, 1986. Metastases to pelvic lymph node were proved histologically in 3 cases among 14 cases. Operative pathologic staging demonstrated an understanding error of 36 per cent, an overstaging error of 28 per cent and an accuracy of 36 per cent. The addition of a meticulous pelvic lymph node dissection did not increase the mortality or morbidity compared to simpler procedures. Results of this study support the early aggressive use of radical cystectomy with pelvic lymphadenectomy and urinary diversion in the management of patients with bladder cancer.