СУБТОТАЛЬНАЯ РЕЗЕКЦИЯ МОЧЕВОГО ПУЗЫРЯ КАК АЛЬТЕРНАТИВА ЦИСТЭКТОМИИ ПРИ ОБШИРНОМ ЕГО ВОВЛЕЧЕНИИ В ОПУХОЛЕВЫЙ ПРОЦЕСС У БОЛЬНЫХ С МЕСТНО-РАСПРОСТРАНЕННЫМ КОЛОРЕКТАЛЬНЫМ РАКОМ
The volume of an operation on the urinary bladder (UB) in case of its extensive involvement due to locally advanced colorectal can-cer varies from partial cystectomy to cystectomy. The results of a morphological examination of 18 patients after pelvic exenterationdemonstrated true invasion into the urinary bladder wall only in 7 (38.9%) cases. This created preconditions for organ-preservingtreatment. Combined operations with partial cystectomy were performed in 37 patients. Pathology showed true tumor invasion intothe urinary bladder wall in 13 (35.1%) cases. The bladder volume was 55.2±17.1 ml after surgery and 175 to 360 (230±31.2) mlfollowing autohydrotraining with pharmacological support made 3 months after surgery. No patient had recurrent urinary bladderdisease. The surgical results suggest that organ-preserving treatment does not violate the oncological radicalism principles and is aserious alternative to cystectomy: Firstly, there is no need for the technically complex stage of an operation - to create a urinaryreservoir. Secondly, urination is preserved by its natural way; there are no signs of urinary incontinence, which ensures the betterquality of life. Субтотальная резекция мочевого пузыря как альтернатива цистэктомии при обширном его вовлечении в опухолевый процесс у больных с местно-распространенным колоректальным рако
