Volume 22 Issue 5
May  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 738-741
LIU Beibei, GUO Yuanyuan, CHEN Mengjie, GAO Wuyue, SUN Wei, WANG Jinxing. Comparative analyses of long-term complications and aquality of life of ileal new bladder and Bricker bladder after laparoscopic radical surgery for bladder cancer[J]. Chinese Journal of General Practice, 2024, 22(5): 738-741. doi: 10.16766/j.cnki.issn.1674-4152.003492
Citation: LIU Beibei, GUO Yuanyuan, CHEN Mengjie, GAO Wuyue, SUN Wei, WANG Jinxing. Comparative analyses of long-term complications and aquality of life of ileal new bladder and Bricker bladder after laparoscopic radical surgery for bladder cancer[J]. Chinese Journal of General Practice, 2024, 22(5): 738-741. doi: 10.16766/j.cnki.issn.1674-4152.003492
shu

Comparative analyses of long-term complications and aquality of life of ileal new bladder and Bricker bladder after laparoscopic radical surgery for bladder cancer

doi: 10.16766/j.cnki.issn.1674-4152.003492

  • Department of Urology, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 81702495

 18080850H279

 KJ2021A0706

  • Received Date: 2024-01-25
    Available Online: 2024-07-20
    Abstract
  •   Objective  To compare and analyze the long-term complications and quality of life in bladder cancer patients who suffered laparoscopic cystectomy and urinary diversion of in situ ileal neobladder (IN) or Bricker ileal orthotopic neobladder (Bricker), providing a basis for selecting individualized urinary diversion.  Methods  A total of 60 male patients who underwent radical cystectomy were collected in the Urology Department of the First Affiliated Hospital of Bengbu Medical University from January 2020 to December 2022.All patients were divided into the IN group (n=34) and the Bricker group (n=26) according to the methods of urinary diversion.The long-term complications and quality of life were analyzed at 6 months and 12 months after operation.  Results  There was no significant difference in both operation time and intraoperative blood loss between two groups (P>0.05), but the intestinal recovery time and hospital stay time of patients in IN group were significantly longer than those in Bricker group (P < 0.05).There was no significant difference in the 6-month total complications between the 2 groups (22 cases vs.14 cases), P>0.05, but there was significant difference in the 12-month total complication rates (19 cases vs.23 cases), P < 0.05.However, the upper urinary tract hydronephrosis was better in patients from IN group than those from Bricker group at 12 months (4 cases vs.9 cases, P < 0.05).There was no significant difference IN QOL between the two groups at 6 months (P>0.05), and QOL in the 12 months group was significantly higher than that in the Bricker group (142.82±6.42 vs.118.69±9.92, F=11.128, P < 0.001).  Conclusion  Fewer long-term complications and higher quality of life are demonstrated in IN, which should be considered seriously when choosing urinary diversion methods.

     

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