A Systematic Review of Ileal Conduit and Neobladder Outcomes in Primary Bladder Cancer

作者:Crozier Jack*; Hennessey Derek; Sengupta Shomik; Bolton Damien; Lawrentschuk Nathan
来源:Urology, 2016, 96: 74-79.
DOI:10.1016/j.urology.2016.06.034

摘要

Treatment for muscle invasive bladder cancer with curative intent includes radical cystectomy and urinary diversion. Using PRISMA guidelines, we conducted a systematic review assessing differences in patient selection, operative parameters, complications, and quality of life between ileal conduit and neobladder cohorts. Ileal conduit cohorts have more advanced age and disease, more comorbidities and complications, and poorer quality of life. Ileal conduit surgery is associated with adverse patient selection that inhibits reasonable comparison of outcomes with neobladder cohorts. Despite this, we observe longer operative times and hospital stays in neobladder cohorts, perhaps reflecting greater technical difficulty and the need for postoperative bladder training.

  • 出版日期2016-10