Standard cystectomy fits all: truth or myth?

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Serval ID
serval:BIB_6F437A91DBBF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Standard cystectomy fits all: truth or myth?
Journal
Translational andrology and urology
Author(s)
Roth B., Thalmann G.N.
ISSN
2223-4691 (Print)
ISSN-L
2223-4683
Publication state
Published
Issued date
06/2015
Peer-reviewed
Oui
Volume
4
Number
3
Pages
254-260
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Radical cystectomy (RC) with pelvic lymph node dissection (PLND) followed by urinary diversion is the treatment of choice for muscle-invasive bladder cancer (BC) and non-invasive BC refractory to transurethral resection of the bladder (TUR-B) and/or intravesical instillation therapies. Since the morbidity and possible mortality of this surgery are relevant, care must be taken in the preoperative selection of patients for the various organ-sparing procedures (e.g., bladder-sparing, nerve sparing, seminal vesicle sparing) and various types of urinary diversion. The patient's performance status and comorbidities, along with individual tumor characteristics, determine possible surgical steps during RC. This individualized approach to RC in each patient can maximize oncological safety and minimize avoidable side effects, rendering 'standard' cystectomy a surgery of the past.
Keywords
Personalized cystectomy, bladder cancer (BC), nerve sparing, pelvic lymph node dissection (PLND), seminal vesicle sparing, urinary diversion
Pubmed
Web of science
Create date
08/01/2021 15:45
Last modification date
25/01/2024 7:38
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