2011
DOI: 10.1016/j.juro.2011.02.006
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25 Years of Experience With 1,000 Neobladders: Long-Term Complications

Abstract: Even in experienced hands the long-term complication rate of radical cystectomy and neobladder formation are not negligible. Most complications are diversion related. The challenge of optimum care for these elderly patients with comorbidities is best mastered at high volume hospitals by high volume surgeons.

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Cited by 284 publications
(177 citation statements)
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“…One of these efforts include an orthotopic neobladder (NB), a procedure that closely mimics the physiological storage and voiding functions of a urinary bladder; 8 this procedure is well-established. 9 In spite of the obvious benefits associated with NB, 2 its uptake has been relatively slow. Gore and colleagues postulated that the slow adoption of NB might be due to concerns regarding morbidity and mortality associated with the procedure.…”
Section: Introductionmentioning
confidence: 99%
“…One of these efforts include an orthotopic neobladder (NB), a procedure that closely mimics the physiological storage and voiding functions of a urinary bladder; 8 this procedure is well-established. 9 In spite of the obvious benefits associated with NB, 2 its uptake has been relatively slow. Gore and colleagues postulated that the slow adoption of NB might be due to concerns regarding morbidity and mortality associated with the procedure.…”
Section: Introductionmentioning
confidence: 99%
“…All techniques of ‘some tissue'-sparing RC have one thing in common: patients must be very carefully selected. Outcomes and results of RC and subsequent urinary diversion can be affected by many things, such as surgical technique, extent of lymph node dissection, early postoperative management and of course extent and quality of long-term follow-up, where both of disease recurrence and metabolic disturbances can occur [18,19,20]. Oncological results depend primarily on the extent of the primary tumor.…”
Section: Introductionmentioning
confidence: 99%
“…Это утверждение основа-но на анализе результатов РЦЭ у большого числа оперированных больных. Данные литературы показы-вают: РЦЭ с регионарной лимфодиссекцией обеспе-чивает наилучшие показатели отдаленной выживае-мости в сочетании с низкой степенью локальных рецидивов [1][2][3]; смертность и частота послеопераци-онных осложнений за последние десятилетия сущест-венно снизились [4][5][6]; переходно-клеточный рак имеет тенденцию резистентности к лучевой терапии даже в высоких дозах [3]; системная химиотерапия в виде монотерапии или в комбинации с органосохра-няющими операциями демонстрирует худшую отда-ленную выживаемость и большую частоту местных рецидивов по сравнению с РЦЭ [7]. Кроме того, РЦЭ ОНКОУРОЛОГИЯ 1'2016 ТОМ 12 CANCER UROLOGY 1'2016 VOL.…”
Section: Introductionunclassified
“…Рецидивы РМП мы различали как местные, или тазовые, и отдаленные -вне мало-обеспечивает точное патоморфологическое стадиро-вание первичной опухоли мочевого пузыря и статус регионарных лимфатических узлов (ЛУ), что позволя-ет установить группу пациентов, которым показана адъювантная полихимиотерапия [3,8]. Наряду с мы-шечно-инвазивным РМП, РЦЭ показана при рециди-вирующих поверхностных опухолях, обладающих вы-соким риском прогрессии, при БЦЖ-резистентном раке in situ, T1G 3 [5,6].…”
Section: Introductionunclassified