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Topic: Cystectomy


In the News (Wed 23 Dec 09)

  
  Cystectomy: Encyclopedia of Medicine
Cystectomy is a surgical procedure to remove the bladder.
Cystectomy is performed to treat cancer of the bladder.
Cystectomy is an aggressive treatment that may not be appropriate for patients with superficial tumors that respond to more conservative treatment.
health.enotes.com /medicine-encyclopedia/cystectomy   (611 words)

  
 Cystectomy - Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks, Normal results
Cystectomy is a surgical procedure that removes all or part of the urinary bladder, the muscular organ that collects urine from the kidneys for excretion at a later time.
During a successful partial cystectomy, the cancerous or damaged area of the bladder is removed and the patient retains urinary control.
Cystectomy is performed in a hospital operating room by a urologist, a medical doctor who has completed specialized training in the diagnosis and treatment of diseases of the urinary tract and genital organs.
www.surgeryencyclopedia.com /Ce-Fi/Cystectomy.html   (1716 words)

  
 Cystectomy for bladder cancer
Cystectomy is the surgical removal of all or part of the bladder.
Radical cystectomy is the removal of the entire bladder, nearby lymph nodes (lymphadenectomy), part of the urethra, and nearby organs that may contain cancer cells.
Cystectomy is used to remove and attempt to cure cancer that has invaded the wall of the bladder or has come back (recurred) following initial treatment.
www.webmd.com /hw/uterine_cervical_cancer/uh1464.asp?printing=true   (785 words)

  
 Total Cystectomy Surgery - Radical Cystectomy Surgery - Best Urologists Abroad
Cystectomy is surgical removal of all or part of the urinary bladder.
Total Cystectomy, also known as Radical Cystectomy is surgical is the removal of the entire bladder, nearby lymph nodes (lymphadenectomy), part of the urethra, and nearby organs that may have been invaded by the cancer cells.
Partial Cystectomy or Segmental Cystectomy is removal of part or segment of the bladder and is usually performed for the resection of stage I and II bladder cancer.
www.medsolution.com /surgery_urogen-totalcystectmy.asp   (1090 words)

  
 Cystectomy
In women, radical cystectomies usually involve the removal of the whole bladder, the urethra, the lower end of the ureters, the front wall of the vagina, the womb (hysterectomy), fallopian tubes and ovaries.
The operation of cystectomy is extensive and removes most of the organs in the pelvis, but this is done to keep the risk of cancer recurrence as low as possible.
MD Anderson Cancer Center retrospectively reviewed the post–radical cystectomy surveillance protocol for 382 patients and concluded that a stage-specific approach was most appropriate, meaning the higher the T-stage at diagnosis, the greater the risk of recurrence within 2 years.
blcwebcafe.org /cystectomy.asp   (4737 words)

  
 eMedicine - Cystectomy, Radical : Article by Scott E Eggener, MD
Upon recognition of disease that may prove amenable to radical cystectomy, preoperative staging is essential for stratifying the chance of disease eradication and recurrence risk, as well as for identifying patients with metastatic foci who are not candidates for surgery.
Radical cystectomy in women: This procedure is performed 3-4 times less often in women than in men; it is often technically easier because women have a larger pelvic cavity.
Local recurrences and disease-free survival are comparable to those of traditional radical cystectomy, and the patient avoids (or delays [40% of cases]) a significant surgery and potentially maintains native bladder function.
www.emedicine.com /med/topic3061.htm   (8364 words)

  
 Bladder Cancer Surgery: TURBT and Radical Cystectomy   (Site not responding. Last check: 2007-10-09)
For invasive bladder cancer more aggressive therapy (cystectomy or bladder removal) is necessary to stop its progression to metastatic bladder cancer.
The most common mode of therapy for invasive bladder cancer is the surgical removal of the bladder — a procedure known as a radical cystectomy.
A radical cystectomy also includes the removal of the nearby lymph nodes, and part of the urethra.
www.bladderdisorders.info /cancer/bladder-cancer-surgery.php   (599 words)

  
 CancerNetwork:
Based on his investigations of 1,050 bladder cancer patients treated with radical cystectomy and followed for at least 8 years, Dr. Skinner has found that patients have an 80% to 90% chance of disease-free survival at 5 years if cystectomy is performed when cancer is confined to the bladder.
In addition, cystectomy plus dissection of positive pelvic lymph nodes has a 30% overall 5-year survival rate, 35% if up to five nodes are positive, and 17% if six or more nodes are involved.
Although 36% of the patients required cystectomy, the procedure was not excessively delayed; 35 of 58 patients had cystectomy immediately after cystoscopic evaluation revealed they had not responded completely to induction chemotherapy and radiotherapy.
www.cancernetwork.com /journals/oncnews/n9909f.htm   (1090 words)

  
 Bladder Cancer Treatment - National Cancer Institute
Radical cystectomy with or without surgery to remove pelvic lymph nodes.
Radical cystectomy with surgery to remove pelvic lymph nodes.
Cystectomy as palliative therapy to relieve symptoms and improve quality of life.
www.cancer.gov /cancertopics/pdq/treatment/bladder/Patient/page5/print   (1145 words)

  
 The Texas Cancer Center
Partial cystectomy may be performed with a margin of less than 2 cm, if necessary to preserve the bladder.
Partial cystectomy in the treatment of primary and secondary carcinoma of the bladder.
Radical cystectomy is still the standard treatment for patients with invasive bladder cancer.
www.texascancercenter.com /bladder.html   (3767 words)

  
 Cystectomy - Wikipedia, the free encyclopedia
Cystectomy is a medical term for surgical removal of all or part of the urinary bladder.
One of the follow-up solutions to a cystectomy is the creation of a neobladder (one form of which is named Studer's Ileal Neobladder or the Studer Pouch).
A neobladder is a loop of inestine that is surgically fashioned into a pouch and placed in the location of the original bladder.
en.wikipedia.org /wiki/Cystectomy   (271 words)

  
 Ask an Expert: Cystectomy, negative for malignancy
Given the description of the events I would agree that cystectomy was the appropriate therapy for you.
It is well recognized that of patients undergoing cystectomy approximately 5% will be found to have no evidence of disease on the final pathological specimen.
It is also recognized that the small group of patients who are tumor free at time of cystectomy have the best outcome when compared to all patients having the procedure.
www.netwellness.org /question.cfm/35940.htm   (444 words)

  
 Bladder cancer: 101206   (Site not responding. Last check: 2007-10-09)
A retrospective study of 243 patients treated by radical cystectomy found that the presence of nuclear p53 was an independent predictor for recurrence among patients with stage T1, T2, or T3 tumors.
Segmental cystectomy is applicable to only a small minority of patients because of the tendency of bladder carcinoma to involve multiple regions of the bladder mucosa and to occur in areas that cannot be segmentally resected.
Radical cystectomy includes removal of the bladder, perivesical tissues, prostate, and seminal vesicles in men and the uterus, tubes, ovaries, anterior vaginal wall, and urethra in women and may or may not be accompanied by pelvic lymph node dissection.
www.acor.org /cnet/101206.html   (4316 words)

  
 Bladder cancer: Treatment - MayoClinic.com
For women, radical cystectomy usually means removing the ovaries, fallopian tubes and part of the vagina.
After a radical cystectomy, your surgeon may construct a new bladder for you or attach a pouch — either internally or externally — to collect urine.
Radical cystectomy can be life altering, affecting not only your ability to urinate normally but also your sexuality.
www.mayoclinic.com /health/bladder-cancer/DS00177/DSECTION=7   (1747 words)

  
 PersonalMD.com Health Encyclopedia
There are two types of cystectomy procedures, simple and radical.
In a radical cystectomy, the doctor removes the bladder in addition to surrounding lymph nodes and glands.
The bladder's nerve-muscle control may not be working well, which means you cannot empty or control the flow of urine (usually requiring a simple cystectomy).
www.personalmd.com /crs.jsp?f=radcym.html   (759 words)

  
 ACS :: Surgery
Cystectomy: When the bladder cancer is invasive, the diseased area is removed by cutting completely through the bladder wall.
In women, the uterus (womb), ovaries, a small portion of the vagina and fallopian tubes (tubes that connect the ovaries and uterus) are often removed with the bladder.
The complications and side effects of a radical cystectomy (removing the bladder and nearby organs) are more serious.
www.cancer.org /docroot/CRI/content/CRI_2_4_4X_Surgery_44.asp?sitearea=   (1227 words)

  
 PersonalMD.com Health Encyclopedia
In a radical cystectomy the doctor removes the surrounding lymph nodes and glands in addition to your bladder.
You may have cancer in the bladder (usually a radical cystectomy will be performed).
The bladder's nerve-muscle control may not be working well, which would mean you cannot empty or control the flow of urine (usually a simple cystectomy will be performed).
www.personalmd.com /crs.jsp?f=radcyf.html   (745 words)

  
 What is a radical cystectomy
A radical cystectomy is a surgical procedure for the treatment of bladder cancer.
The surgery involves making an incision in the lower abdomen and removing the bilateral pelvic lymph nodes, bladder, and in men the prostate gland and seminal vesicles, and in women the uterus and ovaries if present.
Radical cystectomy is considered to be the gold standard for treatment of muscle invasive bladder cancer.
www.urologyofva.com /radical_cystectomy.htm   (698 words)

  
 Phoenix AZ Bladder Cancer and Genitourinary Oncology Physician - BCGOncology - FAQ
Lamm: Cystectomy is the treatment of choice for bladder cancer once it has invaded the muscular wall of the bladder (Stage T2 to T3).
For patients who are not medically fit for cystectomy, radiation therapy is recommended, and the results of radiation when combined with chemotherapy are good, even similar to those of cystectomy.
My approach, which has been criticised for being too conservative, is to recommend cystectomy but support those who, after being informed, elect to keep their bladder.
www.bcgoncology.com /faq   (1403 words)

  
 Stages - Bladder Cancer
A clinical trial of chemotherapy before cystectomy (neoadjuvant chemotherapy) or after cystectomy (adjuvant chemotherapy), or chemotherapy plus radiation therapy.
A clinical trial of systemic chemotherapy before cystectomy (neoadjuvant chemotherapy), or after cystectomy (adjuvant chemotherapy), or chemotherapy plus radiation therapy.
Urinary diversion or cystectomy to reduce symptoms caused by the cancer.
www.umm.edu /cancer/overview/bladder-stages.html   (824 words)

  
 Radical Cystectomy in the Treatment of Invasive Bladder Cancer: Long-Term Results in 1,054 Patients -- Stein et al. 19 ...
Mortality and Morbidity With Radical Cystectomy and Urinary Diversion
the mortality and morbidity from radical cystectomy have decreased
Poulsen AL, Horn T, Steven K: Radical cystectomy: Extending limits of pelvic lymph node dissection improves survival for patients with bladder cancer confined to the bladder wall.
www.jco.org /cgi/content/full/19/3/666   (5462 words)

  
 Radical Cystectomy and Ileal Diversion
The operation is sometimes done in patients whose disease is not curable in order to prevent the problems associated with advanced bladder cancer.
This is referred to as a palliative cystectomy.
The operation aims to remove every cancer cell from the body and form a new means for the urine to drain from the kidneys.
www.hollywoodurology.com /radcyst.html   (1268 words)

  
 eMedicine - Cystectomy, Partial : Article by Jason T Jankowski, MD
Partial cystectomy, also known as segmental resection of the bladder, is a surgical method of removing a selected full-thickness portion of the bladder wall.
On the topic of surgical risk, some surgeons view partial cystectomy as being a less morbid operation than radical cystectomy because operating time is decreased, a urinary diversion with bowel manipulation is not necessary, and an extraperitoneal technique is possible in some cases.
Partial cystectomy, if successful, would have a theoretical upper hand when compared to radical cystectomy or bladder-sparing chemoradiation protocols because it has the advantage of retaining the native bladder with none of the toxicities of chemotherapy or radiation.
www.emedicine.com /med/topic3043.htm   (7882 words)

  
 Adult Health Advisor 2005.4: Cystectomy for Men   (Site not responding. Last check: 2007-10-09)
You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.
In a radical cystectomy, the surgeon removes surrounding lymph nodes and glands in addition to the bladder.
If you are having a radical cystectomy, the surgeon will also remove the nearby lymph nodes, a gland at the bottom of the bladder called the prostate, and two glands called the seminal vesicles.
www.med.umich.edu /1libr/aha/aha_radcym_crs.htm   (1087 words)

  
 John J. Bauer, MD, FACS - Partial Cystectomy
Segmental cystectomy (partial removal of the bladder)—a bladder-preserving or "salvage" form of surgery—is appropriate only in a limited selection of male or female patients (for example, patients with squamous cell carcinomas or adenocarcinomas that arise high in the bladder dome).
It is also offered for the patient that is highly motivated to keep his/her bladder at the very high risk of recurrence and progression.
When segmental cystectomy is performed, it may be preceded by radiation therapy (see also Radiation Therapy).
www.flinturology.com /partcyst.shtml   (2794 words)

  
 Hospitalization for cystectomy
What follows is a summary of the clinical pathway used at the University of Virginia Medical Center for patients undergoing radical cystectomy.
A clinical (or critical) pathway is a tool used by all the members of your hospital healthcare team (doctors, nurses, pharmacists, physical therapists, etc.) to keep you on schedule following a major surgery.
In their 3/97 article in the Journal of Wound, Ostomy, and Continence Nursing entitled "Development and Implementation of a Clinical Pathway for Radical Cystectomy and Urinary System Reconstruction", Teresa Golden, RN, BSN and Catherine Ratliff, PhD, RN, CETN, CS of UVMC developed a clinical pathway for cystectomy patients.
blcwebcafe.org /hospitalizationforcystectomy.asp   (1012 words)

  
 Radical Cystectomy for Invasive Bladder Cancer: Results of Multi-institutional Pooled Analysis -- Takahashi et al. 34 ...
Neoadjuvant chemotherapy plus cystectomy compared with cystectomy alone for locally advanced bladder cancer.
Adjuvant polychemotherapy of nonorgan-confined bladder cancer after radical cystectomy revisited: long-term results of a controlled prospective study and further clinical experience.
A randomized trial of radical cystectomy versus radical cystectomy plus cisplatin, vinblastine and methotrexate chemotherapy for muscle invasive bladder cancer.
jjco.oxfordjournals.org /cgi/content/full/34/1/14   (2363 words)

  
 LAPAROSCOPIC OVARIAN CYSTECTOMY: SELECTION OF PATIENTS AND CONSEQUENCES OF RUPTURE OF OVARIAN MALIGNANCY
In response to a survey on operative laparoscopy by the American Association of Gynecologic Laparoscopists, the laparoscopic management of ovarian cysts was the third most common procedure reported.
Technological advances and appropriate training have allowed ovarian cystectomy to be performed laparoscopically.
In this review, we assess the best available diagnostic means to select cases suitable for laparoscopic ovarian cystectomy to prevent inadvertent rupture of ovarian malignancy and to appraise the consequences of rupture of ovarian malignancy if it occurs.
www.kfshrc.edu.sa /annals/173/96-153.html   (2938 words)

  
 Bladder Cancer WebCafe Forum - cystectomy nerves are getting to me.
I have been waiting for a cystectomy for four years now.
I was given a date, and now it has been put back to september.
Although I'm not in the UK, I am a woman who's had a radical cystectomy and received a neobladder in it's place.
blcforum.com /cgi-bin/forum/YaBB.pl?num=1149513341   (1040 words)

  
 BioMed Central | Full text | Modified capitonage in partial cystectomy performed for liver hydatid disease: Report of 2 ...
We present a technical modification on open partial cystectomy for liver hydatid disease.
One of the major postoperative complications in liver hydatid disease surgery is bile leaking and the formation of a "dead" space in which abscess is easy to develop.
Our purpose was to minimize the "dead" space, which usually remains after cystectomy or partial cystectomy [5].
www.biomedcentral.com /1471-2482/4/8   (1909 words)

  
 John J. Bauer, MD, FACS - Radical Cystectomy, Continent Diversion   (Site not responding. Last check: 2007-10-09)
In addition, new surgical methods of urinary diversion (re-routing of urine through a surgical channel) may eliminate the need for an external urinary appliance.
In women with T2 to T3a tumors, a standard surgical procedure is Radical Cystectomy (cutting away of the entire bladder and associated tissues) with pelvic lymphadenectomy.
Radical cystectomy in women includes removal of the uterus (womb), tubes, ovaries, anterior vaginal wall (front of the birth canal), and urethra (the tube that passes urine from the bladder out of the body).
www.urologychannel.com /michuroassoc/radcyst_cd.shtml   (4241 words)

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