Abstract | OBJECTIVE: To evaluate the outcomes of major urological procedures performed in patients with locally advanced colorectal cancer. MATERIAL AND METHODS: RESULTS: The mean age was 58.3 years. Male/Female ratio was 2.7. 59% of the patients were primary, and 41% were recurrent cases of colorectal cancer. Bladder, ureters, urethra, kidneys and prostate were found as invaded in 19, 9, 5, 2 and 2 cases, respectively. The following single or combined procedures were performed; partial (n=11) or total (n=8; 2 combined with urethrocutaneostomy, 6 with ileal-conduit) cystectomy, urethroplasty (n=5), nephroureterectomy (n=2), radical nephrectomy (n=1), partial nephrectomy (n=1), ureteroneocystostomy (n=7), Boari's flap (n=4), transureteroureterostomy (n=3). Prolonged drainage was the most common surgical complication (27%). Urethrocutaneous fistula and total urinary incontinence were encountered in 1 and 1 patient, respectively. The incidence of hydronephrosis and elevated creatinine were 38% (preoperative 27%; postoperative 11%) and 24% (11% preoperative; 13% postoperative), respectively. Two deaths occurred in the first month of operations. Mean duration of follow up was 18(6-28) months for surviving 13 patients. Overall survival in 24 cases resulting in death was 21(1-42) months. CONCLUSIONS: Since the most important eventual effects of locally advanced colorectal cancer are on the kidneys from the urological point of view; the aim of an urologist, as a member of surgical team, should be preserving renal function in addition to helping complete removal of the tumor.
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Authors | C Göktaş, R Horuz, M Yıldırım, G Faydacı, C Sahin, S Albayrak |
Journal | Actas urologicas espanolas
(Actas Urol Esp)
Vol. 36
Issue 6
Pg. 361-6
(Jun 2012)
ISSN: 1699-7980 [Electronic] Spain |
Vernacular Title | Procedimientos quirúrgicos urológicos mayores en el cáncer colorrectal localmente avanzado. |
PMID | 22266254
(Publication Type: English Abstract, Journal Article)
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Copyright | Copyright © 2011 AEU. Published by Elsevier Espana. All rights reserved. |
Topics |
- Adult
- Aged
- Colorectal Neoplasms
(complications, pathology, surgery)
- Female
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Treatment Outcome
- Urologic Diseases
(complications, surgery)
- Urologic Surgical Procedures
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