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Standard cystectomy fits all: truth or myth?
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 mor...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708237/ https://www.ncbi.nlm.nih.gov/pubmed/26813034 http://dx.doi.org/10.3978/j.issn.2223-4683.2015.04.08 |
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author | Roth, Beat Thalmann, George N. |
author_facet | Roth, Beat Thalmann, George N. |
author_sort | Roth, Beat |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4708237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-47082372016-01-26 Standard cystectomy fits all: truth or myth? Roth, Beat Thalmann, George N. Transl Androl Urol Review Article 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. AME Publishing Company 2015-06 /pmc/articles/PMC4708237/ /pubmed/26813034 http://dx.doi.org/10.3978/j.issn.2223-4683.2015.04.08 Text en 2015 Translational Andrology and Urology. All rights reserved. |
spellingShingle | Review Article Roth, Beat Thalmann, George N. Standard cystectomy fits all: truth or myth? |
title | Standard cystectomy fits all: truth or myth? |
title_full | Standard cystectomy fits all: truth or myth? |
title_fullStr | Standard cystectomy fits all: truth or myth? |
title_full_unstemmed | Standard cystectomy fits all: truth or myth? |
title_short | Standard cystectomy fits all: truth or myth? |
title_sort | standard cystectomy fits all: truth or myth? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708237/ https://www.ncbi.nlm.nih.gov/pubmed/26813034 http://dx.doi.org/10.3978/j.issn.2223-4683.2015.04.08 |
work_keys_str_mv | AT rothbeat standardcystectomyfitsalltruthormyth AT thalmanngeorgen standardcystectomyfitsalltruthormyth |