The effect of different urinary diversion methods in bladder cancer patients after laparoscopic total cystectomy
Objective To explore the effect of different urinary flow diversion methods in patients with bladder cancer after robot-assisted laparoscopic(hereinafter referred to as laparoscopic)total cystectomy.Methods Using the prospective research method,102 patients with bladder cancer who underwent laparoscopic total cystectomy in our hospital from May 2018 to May 2022 were selected.They were divided into two groups with 51 cases in each group by using the digital random table.Ureterostomy was performed in the control group,and ileal neovesical reconstruction was performed in the experimental group.Perioperative indexes and life quality changes were compared between the two groups,and the incidence of complications was statistically analyzed.Results The surgical time and hospitalization time of the experimental group were(372.07±45.48)minutes and(24.83±4.16)days,respectively,which were longer than those of the control group(339.47±52.07)minutes and(21.05±4.72)days.The intraoperative bleeding volume was(857.06±125.39)ml,which was more than the control group's(749.14±140.06)ml,and the difference was statistically significant(t = 3.367,4.291,4.100,P<0.001);After treatment,the physiological function,mental health,and overall health scores of the experimental group were(64.08±7.25)points,(63.93±7.02)points,and(61.17±6.93)points,respectively,which were higher than the control group's(60.13±6.59)points,(59.97±6.84)points,and(57.08±7.11)points,and the difference was statistically significant(t=2.879,2.885,2.942,P<0.05);The incidence of postoperative urinary tract infections in the experimental group was 1.96%(1/51),lower than the 15.69%(8/51)in the control group(χ2 =4.387,P= 0.036).Conclusion In patients with bladder cancer after laparoscopic total cystectomy,although the operation time is long and the intraoperative bleeding is large,it can improve the quality of life,and the incidence of postoperative urinary tract infection is low,and the safety is higher.
Urinary diversionBladder cancerLaparoscopic total cystectomyQuality of lifeComplications
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