Update of the ICUD-SIU International Consultation on Bladder Cancer 2018

• Verfasst von: Faba, Oscar Rodríguez [VerfasserIn]
• Verfasst von: Thüroff, Joachim W. [VerfasserIn]
• Titel: Update of the ICUD-SIU International Consultation on Bladder Cancer 2018
• Titelzusatz: urinary diversion
• Verf.angabe: Oscar Rodríguez Faba, Mark D. Tyson, Walter Artibani, Bernard H. Bochner, Fiona Burkhard, Scott M. Gilbert, Tilman Kälble, Stephan Madersbacher, Roland Seiler, Ella C. Skinner, George Thalmann, Joachim Thüroff, Peter Wiklund, Richard Hautmann, Joan Palou
• Jahr: 2019
• Jahr des Originals: 2018
• Umfang: 9 S.
• Fussnoten: Published online: 20 September 2018 ; Gesehen am 12.11.2019
• Titel Quelle: Enthalten in: World journal of urology
• Ort Quelle: Berlin : Springer, 1983
• Jahr Quelle: 2019
• Band/Heft Quelle: 37(2019), 1, Seite 85-93
• ISSN Quelle: 1433-8726
• DOI: doi:10.1007/s00345-018-2484-3
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: MIBC and urinary diversions
• Sach-SW: Radical cystectomy and complications
• Sach-SW: Urinary diversion
• K10plus-PPN: 1681514370

Abstract

PurposeTo provide a comprehensive overview and update of the joint consultation of the International Consultation on Urological Diseases (ICUD) and Société Internationale d’Urologie on Bladder Cancer Urinary Diversion (UD).MethodsA detailed analysis of the literature was conducted reporting on the different modalities of UD. For this updated publication, an exhaustive search was conducted in PubMed for recent relevant papers published between October 2013 and August 2018. Via this search, a total of 438 references were identified and 52 of them were finally eligible for analysis. An international, multidisciplinary expert committee evaluated and graded the data according to the Oxford System of Evidence-based Medicine.ResultsThe incidence of early complications has been reported retrospectively in the range of 20-57%. Unfortunately, only a few randomized controlled studies exist within the field of UD. Consequently, almost all studies used in this report are of level 3-4 evidence including expert opinion based on “first principles” research.ConclusionsComplications rates overall following RC and UD are significant, and when strict reporting criteria are incorporated, they are much higher than previously published. Complications can occur up to 20 years after surgery, emphasizing the need for lifelong follow-up. Progress has been made to prevent complications implementing robotic surgery and fast track protocols. Preoperative patient information, patient selection, surgical techniques, and careful postoperative follow-up are the cornerstones to achieve good results.