Affiliation:
1. Mari El Republican Clinical Hospital;
Kazan State Medical University, Ministry of Health of Russia
Abstract
Radical cystectomy remains the “golden standard” for treatment of patients with invasive bladder cancer. The operation is a technically complex surgical intervention after which there are various complications, including gastrointestinal complications such as intestinal obstruction, peritoneal adhesive disease and others. The use of extraperitoneal access for radical cystectomy with an extraperitoneal location of the artificial bladder in carefully selected patients reduces the number of abdominal postoperative complications and improves results in the immediate postoperative period. A literature review is presented which outlines the results of using extraperitoneal approach in comparison with other options for surgical approaches when performing radical cystectomy with intestinal bladder plastic surgery. It is noted that extraperitoneal access during this operation was previously used by Russian urologists.
Publisher
Publishing House ABV Press
Reference36 articles.
1. State of oncological care in Russia in 2020. Eds.: А.D. Kaprin, V.V. Starinskiy, A.O. Shachzadova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMITS radiologii” Minzdrava Rossii, 2021. 239 p. (In Russ.).
2. Hautmann R., Petriconi R., Pfieffer C. et al. Radical cystectomy for urothelial carcinoma of the bladder without neoadjuvant or adjuvant therapy: long-term results in 1100 patients. Eur Urol 2012;61(5): 1039–48. DOI: 10.1016/j.eururo.2012.02.028
3. Shabsigh A., Korets R., Vora K.C. et al. Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology. Eur Urol 2009;55(1):164–74. DOI: 10.1016/j.eururo.2008.07.031
4. Hautmann R.E. The Evolution of orthotopic bladder substitution: faults and fixes clinics. Oncology 2022;7:1938.
5. Couvelaire R. Le rеservoir ileal de substitution apres la cystectomie totale chez l’homme [Substitute ileal reservoir following total cystectomy in the male]. J Urol 1951;57(6):408–17.