KHẢO SÁT MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN UNG THƯ BÀNG QUANG ĐƯỢC ĐIỀU TRỊ BẰNG PHẪU THUẬT CẮT TOÀN BỘ BÀNG QUANG, CHUYỂN LƯU NƯỚC TIỂU THEO PHƯƠNG PHÁP BRICKER TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objectives: To describe some clinical, paraclinical, and diagnostic characteristics of bladder cancer patients treated with total cystectomy and Bricker urinary diversion. Methods: A retrospective, cross-sectional descriptive study without a control group was conducted on 40 bladder cancer patients who underwent total cystectomy and Bricker urinary diversion at 108 Military Central Hospital from March 2021 to May 2024. Results: The average age was 66.89 years old; the male/female ratio was 7/1. The most common symptom was hematuria (67.5%), 37.5% had first-time bladder cancer, and the average duration of the disease was 68.98 ± 131.2 months. The main histopathology was transitional carcinoma (97.5%), with high malignancy accounting for 85%. CT-scans correctly predicted the T stage in 90.0% patients. Conclusion: Bladder cancer detected for the first time requires total cystectomy, accounting for 37.5% with the main histopathology being transitional carcinoma (97.5%). CT-scans play an important role in treatment indications as well as prognosis.