Complications of radical cystectomy.

摘要: Radical cystectomy has become a standard and arguably the best definitive form of therapy for high-grade, invasive bladder cancer. Lower urinary tract reconstruction, particularly orthotopic diversion, been major component in enhancing quality life patients requiring cystectomy. As with any surgery, however, complications do arise. It is important all surgeons to be familiar presentation, prevention treatment causes morbidity mortality associated radical lower reconstruction. The discussed are among most common seen urinary-intestinal diversion. There are, fact, many others that may encountered, as published literature testifies, thorough understanding their equally essential successful patient outcome. Adherence proper surgical technique, familiarization recent data regarding methods, attention detail perioperative period crucial minimizing undertaking. neobladder well total pelvic exenteration its modifications need considered options muscle cancer or advanced malignancies. Recent advances selection, care have led decreased morbidity. Despite this, these procedure remain complex potential both short long-term complications. abundant evidence malignancies primary rectal cervical can lead meaningful survival; prognosis after recurrent not good. introduction combined chemoradiotherapy likely improve local recurrence rates translate into more durable survival. Pelvic continues an role multimodality approach In conclusion, appears safe effective option experienced multi specialty team locally malignancy. success highly dependent on good selection where en bloc resection result prolonged disease-free survival long term cure. times this operation so palliative help difficult group patients.