Radical cystectomy

Authors

  • Irene Alonso Ramos Adjunct Anesthesiology, Resuscitation and Pain Treatment. Anesthesiology and Resuscitation Service, Getafe University Hospital, Spain.
  • Raquel Iglesias Guitián Adjunct Anesthesiology, Resuscitation and Pain Treatment. Anesthesiology and Resuscitation Service, Getafe University Hospital, Spain.
  • Susana Pretus Rubio Adjunct Anesthesiology, Resuscitation and Pain Treatment. Anesthesiology and Resuscitation Service, Getafe University Hospital, Spain.

DOI:

https://doi.org/10.30445/rear.v16i8.1210

Keywords:

Cystectomy, Urology

Abstract

Open radical cystectomy is the gold standard for bladder carcinoma with muscle infiltration and involves, in addition to resection of the bladder and adjacent structures, the performance of a complementary procedure that allows urine collection, which increases the morbidity and mortality of the procedure. The most frequently used technique is the cutaneous uretero-ileostomy (Bricker). The traditional analgesic mainstay has been the thoracic epidural, very widely used nowadays. However, there is recent evidence showing a better postoperative course with other analgesic techniques and, therefore, routine epidural analgesia is not currently included in postoperative recovery protocols.

References

- Stafford-Smith M. Aparato urinario y anestesia para cirugía urológica. En: Paul G. Barash, editor. Clinical Anesthesia. Philadelphia. 2018. P. 1400-1440.

- Patel J. Anaesthesia for Major Urological Surgery. Anesthesiology Clin. 2022; 40: 175-197.

- Guerrero Orriach JL. Anesthesia in combination with propofol increases días ease-free survival in bladder cancer patients who undergo radical tumor cystectomy as compared to inhalational anesthetics and opiate-based analgesia. Oncology. 2020; 98:161-167.

- Patel S. Epidural anesthesia may be associated with increased postoperative complications in the elderly population undergoing radical cystectomy: an analysis from the National Surgical Quality Improvement Project (NSQIP) database. World journal of Urology. 2021; 39:433-441.

- Miller B. Trends in epidural anesthesia use at the time of radical cystectomy and its association with perioperative and survival outcomes: a population-based analysis. Am J Clin Exp Urol. 2020; 8(1):28-37.

- Malo-Manso A. Opioid-free anesthesia for open radical cystectomy in morbid obesity. Revista española de Anestesiología y Reanimación. 2022;69:433-436.

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Published

2024-09-02

How to Cite

Alonso Ramos, I., Iglesias Guitián, R., & Pretus Rubio, S. (2024). Radical cystectomy . Revista Electrónica AnestesiaR, 16(8). https://doi.org/10.30445/rear.v16i8.1210

Issue

Vol. 16 No. 8 (2024): Revista Electrónica de AnestesiaR

Section

Review articles

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Copyright (c) 2024 Revista Electrónica AnestesiaR

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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