Outcome of urinary bladder recurrence after partial cystectomy for en bloc urinary bladder adherent colorectal cancer resection

Abstract

For bladder preservation en bloc resection of urinary bladder adherent colorectal cancer, the pathological urinary bladder invasion is significantly associated with more urinary bladder recurrence and distant metastasis. This result helps surgeons make decisions at surgical planning and establish follow-up protocol.

Failure of 3 different methods and biopsy sites to diagnose a patient with invasive colorectal cancer

“…[11] Cystoscopy has been reported to have a similar sensitivity to pelvic CT scan for identifying local bladder invasion, but may be a useful tool for surgical planning. [12] The uniqueness of this case is not only the tumoral bladder involvement, but also 3 consecutive negative biopsies done by different methods: open, cystoscopic, and CT guided (Fig. 5).…”

“…Partial cystectomy in colorectal cancer with urinary bladder invasion has been shown to have similar survival rates with less morbidity compared with radical cystectomy in several case series. [12] According to multiple studies, the 5-year survival rate of stage pT4 colon cancer treated with en bloc resection is around 50% with a local recurrence rate of <20%. Prognosis is directly affected by liver metastasis, lymph node invasion, positive resection margin, and the absence of microsatellite instability.…”

Непосредственные Результаты Лечения Больных Раком Толстой Кишки С Инвазией В Мочевой Пузырь В Республиканском Онкологическом Центре Имени Профессора Г. В. Бондаря

“…Непосредственные результаты лечения данной категории больных также значительно варьируют по данным различных авторов [13][14][15][16][17][18][19]. Пациентов, которым выполняется комбинированная операция на толстой кишке с вовлечением мочевого пузыря, относят к группе высокого риска развития послеоперационных осложнений.…”

Robotic low anterior resection of rectal cancer with partial resection of urinary bladder and reconstruction – a video vignette

“…When a rectosigmoid cancer (T4) involves the urinary bladder, the operation of choice is an anterior resection with en bloc (partial or total) bladder resection, depending on the site and extent of bladder involvement. At the very least, this should achieve local control – and in the case of an R0 resection, long‐term survival – but in the case of total cystectomy, the necessity for an ileal conduit is an added burden for the patient . For that reason, many surgeons prefer to carry out a partial cystectomy .…”

“…At the very least, this should achieve local control – and in the case of an R0 resection, long‐term survival – but in the case of total cystectomy, the necessity for an ileal conduit is an added burden for the patient . For that reason, many surgeons prefer to carry out a partial cystectomy .…”