Standard cystectomy fits all: truth or myth?

Roth, Beat; Thalmann, George (2015). Standard cystectomy fits all: truth or myth? Translational andrology and urology, 4(3), pp. 254-260. AME Publishing Company 10.3978/j.issn.2223-4683.2015.04.08

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Roth, Beat and Thalmann, George

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2223-4683

Publisher:

AME Publishing Company

Language:

English

Submitter:

Katharina Morgenegg

Date Deposited:

08 Feb 2016 15:56

Last Modified:

23 Feb 2018 12:53

Publisher DOI:

10.3978/j.issn.2223-4683.2015.04.08

BORIS DOI:

10.7892/boris.75191

URI:

https://boris.unibe.ch/id/eprint/75191

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