[Clinical evaluation of total cystectomy for XXXX : a ten-year experience].

@entity1 @entity2558 @entity1803 @entity5 @entity260 @entity150
Fifty-three @entity1 with primary @entity150 underwent total cystectomy during the past 10 years. Ages ranged from 32 to 87 years old, with an average of 68.2 years. Radical total cystectomy, including systemic lymphadenectomy was performed in 22 cases, simple total cystectomy in 8 cases and salvage total cystectomy in 23 cases. An ileal conduit was made for urinary diversion in 23 cases and the other 26 cases underwent cutaneous ureterostomy. Postoperative mortality was 9.4% (5 of 53 cases) and @entity260 were noted in 17 of the 53 cases (32.1%). The 5-year cumulative survival rate by the life table method for all the cases was 42.6%. The 5-year cumulative survival rate of radical total cystectomy cases was 67.8%, that of simple total cystectomy cases was 50.0% and that of salvage total cystectomy cases was 7.5%. A significant difference was seen between the first 2 groups and the last group. The 5-year cumulative survival rate of the @entity1 with low stage @entity5 (pTis, pTa, @entity2558 and pT2) was 56.1% and that of the @entity1 with high stage @entity5 ( @entity1803 , pT4) was 22.7%. A significant difference was observed between the two groups. The 5-year cumulative survival rate of the @entity1 with grades G1, G2 and G3 @entity5 was 66.7, 45.4 and 26.7% respectively. A significant difference was seen among the three grades.
