Analysis of the Curative Effect and Survival Difference of Three Different Surgical Methods for Bladder Cancer Patients with Radical Cystectomy and Ureterostomy

Abstract Background: Bladder cancer is one of the most common urinary tract tumors. At present, for the treatment of invasive muscular bladder cancer or high-risk non-invasive muscular bladder cancer, radical cystectomy, urinary diversion and pelvic lymph node dissection are the preferred methods. Ureterostomy is one of the commonly used surgical procedures for postoperative urinary diversion. Open radical cystectomy (ORC), laparoscopic radical cystectomy (LRC) and robot-assisted laparoscopic radical cystectomy (RARC) are common radical cystectomy methods commonly used by urologists. Methods: In this study, patients with bladder cancer were treated with 3 different surgical methods, and the postoperative efficacy was compared, and the survival difference was analyzed. Results: Our results showed that LRC and RARC were significantly superior to ORC in intraoperative and perioperative observation indexes, and LRC and RARC could more completely remove tumors compared with ORC in complex cases. However, the survival time after ORC was longer than that of LRC and RARC patients. Conclusion: Operation methods, tumor staging, pathological grade, and number of lymph nodes dissected are all independent factors affecting patient survival, which should be paid more attention to clinically.