Contemporary cystectomy combined with ileal conduit or bladder substitution

Radical cystectomy remains one of the mainstay treatments for organ-confined invasive bladder cancer. Components of this surgery including the extent of pelvic lymph node dissection, the assessment of ureteric margins and the indications for bladder reconstruction as opposed to the simpler ileal con...

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Bibliographic Details
Published in:Surgical oncology 2002-06, Vol.11 (1), p.65-75
Main Authors: Bhojwani, Ashok G., Mellon, J.Kilian
Format: Article
Language:English
Subjects:
Bladder neoplasms
Cystectomy
Cystectomy - methods
Female
Humans
Lymph Node Excision
Male
Patient Selection
Pelvis
Quality of Life
Sex Factors
Treatment
Urinary Bladder Neoplasms - surgery
Urinary Diversion - adverse effects
Urinary Diversion - methods
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Summary:Radical cystectomy remains one of the mainstay treatments for organ-confined invasive bladder cancer. Components of this surgery including the extent of pelvic lymph node dissection, the assessment of ureteric margins and the indications for bladder reconstruction as opposed to the simpler ileal conduit urinary diversion continue to provoke debate. This review provides a broad overview of radical cystectomy and summarises the options for bladder reconstruction. Special emphasis is given to data concerning the role of pelvic lymphadenectomy in the patient staged pre-operatively as N0M0.
ISSN:0960-7404
1879-3320
DOI:10.1016/S0960-7404(02)00011-7