Cystectomy and urinary diversion in the treatment of bladder cancer without artificial respiration

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Cystectomy and urinary diversion in the treatment of bladder cancer without artificial respiration.

PURPOSE To assess the feasibility and performance of radical cystectomy with urinary diversion using exclusively regional anesthesia (i.e. combined spinal thoracic epidural anesthesia, CSTEA). MATERIALS AND METHODS In 2011 radical cystectomy with extended pelvic and iliac lymphadenectomy was performed on 14 patients using urinary diversion without applying general anesthesia. Under maintained...

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Bladder Replacement and Urinary Diversion After Radical Cystectomy.

BACKGROUND: The optimal mode of urinary tract reconstruction following cystectomy continues to challenge the urologic surgeon. Disadvantages with bowel conduits have prompted the search for better techniques to improve patient outcomes. METHODS: The development of urinary tract reconstruction is reviewed, and results from several forms of continent urinary diversion and bladder replacement cons...

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Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer

With multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in measuring HRQOL in bladder cancer, and the literature comparing HRQOL after various methods of urina...

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Urinary diversion after radical cystectomy for bladder cancer: options, patient selection, and outcomes.

CONTEXT The urinary reconstructive options available after radical cystectomy (RC) for bladder cancer are discussed, as are the criteria for selection of the most appropriate diversion, and the outcomes and complications associated with different diversion options. OBJECTIVE To critically review the peer-reviewed literature on the function and oncological outcomes, complications, and factors ...

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Ileal Conduit as the Standard for Urinary Diversion After Radical Cystectomy for Bladder Cancer

For >30 yr, the ileal conduit (IC) has been considered the ‘‘standard’’ urinary diversion for bladder cancer patients submitted to radical cystectomy. It is universally recognised as being the most clinically adequate, cost-effective, and reliable solution in the long term. During the last two decades, this surgical procedure has been challenged by the dissemination and the excellent clinical o...

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ژورنال

عنوان ژورنال: International braz j urol

سال: 2012

ISSN: 1677-5538

DOI: 10.1590/s1677-55382012000500009