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

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• 作者：Jack Crozier^a ; ^b ; ^{jackacrozier@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Derek Hennessey^b ; Shomik Sengupta^a ; ^b ; Damien Bolton^a ; ^b ; Nathan Lawrentschuk^a ; ^b ; ^c
• 刊名：Urology
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：96
• 期：Complete
• 页码：74-79
• 全文大小：403 K

文摘

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.