scholarly journals http://www.termedia.pl/Prostate-capsule-sparing-radical-cystectomy-a-safe-procedure-for-few,57,27021,0,1.html

2016 ◽  
Vol 69 (1) ◽  
2019 ◽  
Vol 38 (6) ◽  
pp. 1359-1368 ◽  
Author(s):  
Dominique Engel ◽  
Marc A. Furrer ◽  
Patrick Y. Wuethrich ◽  
Lukas M. Löffel

Author(s):  
Maliikarjuna Gurram ◽  
Ravichander G. ◽  
Ravi Jahagidar ◽  
Vinay Reddy

Background: Radical cystectomy with pelvic lymph node dissection is the standard treatment for muscle-invasive bladder cancer. With the advent of improved surgical techniques and postoperative management, the complications and mortality rates have reduced. The present study was done to analyse the perioperative, early and late compilations following radical cystectomy for bladder tumor.Methods: This is a prospective observational study of patients who underwent radical cystectomy for invasive bladder tumor from February 2016 to November 2017. Radical cystectomy was done through midline transperitoneal approach.  Urinary diversion was done by ileal conduit. All patients were followed at 6th week, 3rd month, 6th month, and at 1 year.Results: Total 21 patients underwent radical cystectomy, 17(80.95%) were males and 4 (19.04%) females. The median age was 60 years, ranging from 40 to 73 years. The   most common age group was 60 to 75 years (52.3%). Thirteen (61.9%) patients were smokers and all were males. Painless haematuria alone was most common presentation (of bladder tumor) seen in 15 (71.4%) patients. Early complications were seen in 8 (38.09%) patients, most common early complication was urinary leak 2 (9.5%) patents, other early complications were bowel leak, wound dehiscence, pelvic collection, burst abdomen, prolonged ileus, subacute intestinal obstruction, acute kidney injury and sepsis seen in one (4.25%) patient each. Late complications were seen in 4 (19.04%) patients.  Pelvic recurrence was the most common late complication seen in 2 (9.55%) patients. Ureteric stricture was seen in one patient (4.75%) for which percutaneous nephrostomy and antegrade DJ stenting was done. Among the histopathological variants of tumor 20 (95.25%) patients had high grade variants and only one (4.75%) had low grade papillary urothelial carcinoma. Among the high grade variants most common pathology was urothelial carcinoma in 17 (80.9%) patients.Conclusions: Radical cystectomy remains the main stay of treatment in muscle-invasive bladder cancer. This is relatively safe procedure with minimal morbidity and mortality.


2019 ◽  
Vol 18 (12) ◽  
pp. e3636-e3637
Author(s):  
George Managadze ◽  
George Sharashenidze ◽  
Irakli Surmanidze ◽  
Ambrosi Pertia

2019 ◽  
Vol 13 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Ahmed Y. Abdelaziz ◽  
Hossam Shaker ◽  
Mohamed Seifelnasr ◽  
Hossam Elfol ◽  
Mohamed Nazim ◽  
...  

Introduction and Objectives: A comparative study of standard radical cystectomy and prostate capsule sparing radical cystectomy regarding functional and oncological outcomes. Materials and Methods: A randomized study of 96 patients with transitional cell carcinoma of the bladder (December 2014 - June 2016) was done. We excluded cases with preoperative T4 staging, lymphadenopathy, prostatic specific antigen > 4 ng/dl, and cases with positive biopsies from the bladder neck, trigone, and/or prostatic urethra. Patients were divided into 2 groups, Group 1: standard radical cystectomy with orthotopic diversion (n = 51), Group 2: prostate capsule sparing cystectomy with orthotopic diversion (n = 45). Preoperative transrectal ultrasound and prostatic biopsies were done in Group 2 to exclude prostate cancer. We compared the urinary continence and erectile function in both groups after 6 months, 1, and 2 years. Results: There was no significant difference between the groups regarding preoperative demographic data, tumor stage, grade, site by cystoscopy, and biopsy. Intraoperative monitoring showed no significant differences regarding blood loss, surgical complications, or operative time (2.5 ± 0.48 vs. 2.4 ± 0.45 h). There was a significantly higher percentage of continence and potency in Group 2 than in Group 1. Sixteen cases (35.6%) in Group 2 but only 4 cases (7.8%) in Group 1 developed large post-voiding residual urine and needed intermittent self-catheterization cleaning (p = 0.001). The tumor recurrence rate was not significantly different between the groups after 2 years (p = 0.3). Conclusion: Prostate capsule sparing cystectomy is a good option in selected cases with better continence and potency and without compromising oncological outcomes after 2 years.


2013 ◽  
Vol 12 (1) ◽  
pp. e1036
Author(s):  
Rivas J. Gómez ◽  
S. Alonso Y Gregorio ◽  
Sánchez D. López ◽  
Gómez A. Tabernero ◽  
Ledo J. Cisneros ◽  
...  

2015 ◽  
Vol 193 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Bruce L. Jacobs ◽  
Stephanie Daignault ◽  
Cheryl T. Lee ◽  
Khaled S. Hafez ◽  
Jeffrey S. Montgomery ◽  
...  

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