Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy
PurposeTo evaluate predictors of high-quality surgery and their effect on surgical outcomes in patients with bladder cancer undergoing radical cystectomy.Evidence acquisitionA systematic and thorough review was performed to identify the most recent literature on current optimal management and predic...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-03-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1008318/full |
| _version_ | 1797871447306141696 |
|---|---|
| author | Maria Pere Akara Amantakul Supon Sriplakich Tatum Tarin |
| author_facet | Maria Pere Akara Amantakul Supon Sriplakich Tatum Tarin |
| author_sort | Maria Pere |
| collection | DOAJ |
| description | PurposeTo evaluate predictors of high-quality surgery and their effect on surgical outcomes in patients with bladder cancer undergoing radical cystectomy.Evidence acquisitionA systematic and thorough review was performed to identify the most recent literature on current optimal management and predictors of high-quality surgery for patients undergoing radical cystectomy.ConclusionsMuscle-invasive bladder cancer is an aggressive cancer requiring efficient and high-quality surgery in order to achieve the best oncological outcomes. Negative surgical margins, number of lymph nodes resected, lymph node dissection template, and surgical volume have been associated with improved oncologic outcomes. Robotic radical cystectomy continues to evolve and recent randomized controlled trials have shown that oncological outcomes are non-inferior when compared to the open technique. Regardless of approach, surgical technique should continually be evaluated and refined to optimize outcomes in patients undergoing radical cystectomy. |
| first_indexed | 2024-04-10T00:44:14Z |
| format | Article |
| id | doaj.art-a95a330956a44324863381e4c4d00e6d |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T00:44:14Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-a95a330956a44324863381e4c4d00e6d2023-03-14T04:41:10ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-03-01910.3389/fsurg.2022.10083181008318Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomyMaria Pere0Akara Amantakul1Supon Sriplakich2Tatum Tarin3Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesDivision of Urology, Chiang Mai University, Chiang Mai, ThailandDivision of Urology, Chiang Mai University, Chiang Mai, ThailandDepartment of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA, United StatesPurposeTo evaluate predictors of high-quality surgery and their effect on surgical outcomes in patients with bladder cancer undergoing radical cystectomy.Evidence acquisitionA systematic and thorough review was performed to identify the most recent literature on current optimal management and predictors of high-quality surgery for patients undergoing radical cystectomy.ConclusionsMuscle-invasive bladder cancer is an aggressive cancer requiring efficient and high-quality surgery in order to achieve the best oncological outcomes. Negative surgical margins, number of lymph nodes resected, lymph node dissection template, and surgical volume have been associated with improved oncologic outcomes. Robotic radical cystectomy continues to evolve and recent randomized controlled trials have shown that oncological outcomes are non-inferior when compared to the open technique. Regardless of approach, surgical technique should continually be evaluated and refined to optimize outcomes in patients undergoing radical cystectomy.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1008318/fullbladder cancer (BC)radical cystectomy (RC)surgical outcomesrobotic vs. open cystectomylymph node dissection (LND) |
| spellingShingle | Maria Pere Akara Amantakul Supon Sriplakich Tatum Tarin Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy Frontiers in Surgery bladder cancer (BC) radical cystectomy (RC) surgical outcomes robotic vs. open cystectomy lymph node dissection (LND) |
| title | Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| title_full | Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| title_fullStr | Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| title_full_unstemmed | Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| title_short | Optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| title_sort | optimizing surgical outcomes in bladder cancer patients undergoing radical cystectomy |
| topic | bladder cancer (BC) radical cystectomy (RC) surgical outcomes robotic vs. open cystectomy lymph node dissection (LND) |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1008318/full |
| work_keys_str_mv | AT mariapere optimizingsurgicaloutcomesinbladdercancerpatientsundergoingradicalcystectomy AT akaraamantakul optimizingsurgicaloutcomesinbladdercancerpatientsundergoingradicalcystectomy AT suponsriplakich optimizingsurgicaloutcomesinbladdercancerpatientsundergoingradicalcystectomy AT tatumtarin optimizingsurgicaloutcomesinbladdercancerpatientsundergoingradicalcystectomy |