Advanced XXXX : urinary tract resection as a part of cytoreductive surgery.

@entity1 @entity43 @entity41
Maximum surgical effort to minimize @entity41 following primary surgery has been shown to increase mean survival in @entity1 with @entity43 . From September, 1983 to November, 1987, 22 @entity1 underwent resection of the urinary tract as a part of cytoreductive surgery. Seven @entity1 underwent partial cystectomy, four underwent partial cystectomy with ureteroneocystotomy, five @entity1 underwent ureteroneocystotomy while an additional four @entity1 underwent ureteroureteral anastomosis. One @entity1 underwent primary transverse colon conduit while another underwent a similar procedure after developing urinary leakage. All anastomoses were protected with indwelling stents while the urinary bladder was drained with an indwelling Foley catheter for ten days. Both @entity1 requiring conduits had undergone prior radiation therapy in addition to chemotherapy. Nine major and two minor complications occurred in seven @entity1 . One @entity1 died six weeks postoperatively after concurrent hepatic resection. Optimal cytoreduction was possible in 59% of the @entity1 , and was associated with a mean survival of 15.2 months. Optimal cytoreduction including resection of the urinary tract was associated with longer survival and acceptable morbidity and it appears to be justified in @entity1 with @entity43 .
