肌层浸润性膀胱癌根治性手术治疗进展

Research progress of radical surgical treatment of muscle invasive bladder cancer.

目前,肌层浸润性膀胱癌的治疗方案主要是根治性膀胱切除、盆腔淋巴结清扫及尿流改道重建,但术后出现局部复发、远处转移风险较高,除此之外还要对新膀胱进行功能训练,新辅助化疗在一定程度上可提高患者生存率,复发率降低。本文对肌层浸润性膀胱癌根治性手术不同的治疗方法进行综述。

At present,the main treatment options for muscle invasive bladder cancer are radical cystectomy,pelvic lymph nodes dissection and urinary diversion reconstruction.However,the risk of local recurrence and distant metastasis are higher after surgery.In addition,the new bladder needs to do functional training.To a certain extent,neoadjuvant chemotherapy can improve the survival rate and reduce the recurrence rate.This article reviews the different treatment methods of radical surgery for muscular invasive bladder cancer.