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[Oncology]
Alexey Charyshkin; Denis Matorkin;
The article presents the immediate results of preperitoneal blockade in patients with bladder cancer after radical cystectomy. 126 patients aged 31–74 years with bladder cancer who underwent radical cystectomy at the Lipetsk Regional Oncological Dispensary between 2005 and 2016 were examined. Patients were divided into two groups depending on the method of analgesia in the postoperative period. In the first group (n=96) only systemic analgesia was used. In the second group (n=30) along with systemic analgesia a preperitoneal blockade was performed. The efficacy of postoperative analgesia was assessed by VAS.
Dynamic intestinal obstruction prevailed among early postoperative complications in both groups. The second group of patients showed a decrease in dynamic intestinal obstruction to 10 %, wound inflammatory complications were observed 2 times less often than in the first group.
In conclusion, radical cystectomy in patients with bladder cancer allows obtaining satisfactory functional results. However, the number of postoperative complications remains high. Preperitoneal blockade is an effective way to reduce and prevent postoperative complications in patients with bladder cancer after radical cystectomy.
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Keywords: bladder cancer, radical cystectomy, postoperative complications, postoperative analgesia