When was partial cystectomy first performed?

Updated: Apr 03, 2019
  • Author: E Jason Abel, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Historically, this operation has been performed since the 19th century, when it was thought that many patients with bladder cancer would be ideal candidates. Little was known about how bladder cancer may affect the entire bladder despite the appearance of a solitary tumor. The widespread use of this operation in the mid-1950s led to high local recurrence rates from 37% to 78%. [2, 3] The advent and technical improvements of transurethral resection (TUR) have made it possible to initially resect most bladder tumors.

Table 1. Proportion of Patients With Bladder Cancer Treated With Partial Cystectomy (Open Table in a new window)

Source

Total Patients With Bladder Cancer

Patients Treated With Partial Cystectomy (%)

Utz et al (1973)

3454

199 (5.8)

Brannan et al (1978)

551

49 (7.1)

Faysal and Freiha (1979)

859

117 (13.6)

Merrell et al (1979)

585

54 (9.2)

Ojeda and Johnson (1983)

397

23 (5.8)

Jardin and Vallencien (1984)

475

90 (18.9)

Hayter et al (2000)

20,822

729 (3.5)

Holzbeierlein et al (2004)

935

58 (6.2)


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