Radical cystectomy: do we need standardization?. Issue 2 (1st February 2017)

• Record Type: Journal Article
• Authors: Ladurner, Christian; Comploj, Evi; Trenti, Emanuela; Palermo, Salvatore; Pycha, Alexander; Pycha, Armin
• Is Part Of: Expert review of anticancer therapy. Volume 17:Issue 2(2017)
• Page Start: 101
• Page End: 107
• Publication Date: 2017-02-01
• Subjects: Radical cystectomy -- standardization -- surgical quality -- guidelines -- checklist -- prostate sparing cystectomy -- lymph node dissection; Cancer -- Treatment -- Periodicals; 616.99406
• DOI: 10.1080/14737140.2017.1271326
• Languages: English
• ISSNs: 1473-7140

Abstract

ABSTRACT: Introduction: The first series of radical cystectomy with a definition of surgical landmarks was published in 1949 and was characterized by a high perioperative mortality and a 5-year survival rate around 50%. Decades later, nevertheless many surgical progresses were made and the perioperative mortality dropped to 2, 5%, this had not lead to an improvement of long term survival rates, also because a standardization of the procedure is still missing. Areas covered: Radical cystectomy is performed with different surgical techniques obmitting a standardization. The comparability of many studies is therefore difficult or havely compromised. A paragon with other diciplines was made emphazing that there high surgical quality is defined, measured and controlled. A systematic literature search was made selecting finally 76 article adressing this issue. Expert commentary: Surgical guidelines in uro-oncology are vague and a definition of surgical quality is missing. A view outside of the box could be very helpful. This is a plea for a change.