ObjectiveTo evaluate the early and long-term complications and quality of life in patients treated with ileal orthotopic neo-bladder (IN) or cutaneous ureterostomy (CU) after laparoscopic radical cystectomy (LRC), and provide the clinical basis for selecting urinary diversion.
MethodsA total of 61 bladder cancer patients treated with LRC combined with urinary diversion were divided into the IN group (15 cases) and CU group (46 cases).The incidence rates of early and long-term complications and quality of life were compared between two groups.
ResultsThe operation time, anal exhaust time and postoperative hospital stays in IN group were longer than those in CU group (P < 0.01).The incidence rate of early complications in IN group was lower than that in CU group (P < 0.01), however, there was no statistical significance in long-term complications between two groups (P>0.05).The score of quality of life in IN group was significantly higher than that in CU group (P < 0.01), and the quality of life in patients more than 70 years was significantly higher than that in patients less than 70 years in CU group (P < 0.01).
ConclusionsThe patients treated with IN have low incidence rate of complications and high quality of life.The CU is still an alternative method for elderly patients.the suitable urinary diversion method should be chosed according to patients' demand and disease situation, and the mentality of patients should be considered.
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