Résultat de 94 cystectomies à Necker sur 10 ans (entre 1988 et 1998) pour tumeur infiltrante

We report the results of 94 patients who underwent radicalcystectomies in our centre between 1988 and 1998.Thirty six radical cystectomies have been performed in patientswho refused radiochimiotherapy. Other indications were salvagecystectomy and renal deterioration in 39 and 19 patients,respectively. In patients who refused radiochimiotherapy, urinarydiversion was enterocystoplasty in men and ileal conduit in women.Cutaneous ureterostomy was performed after salvage cystectomyand in 7 patients with renal deterioration.Morbidity rate, including acute pyelonephritis and obstruction ofthe bowels, was similar to the series of the literature.Mortality rate was 4%. Among 21 patients with enterocystoplasty,17 patients were dry at day and 14 were dry at night.Overall 5-year survival rate was 62% for the group of patients whorefused radiochimiotherapy protocol and 12% for salvagecystectomy group.