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首页> 外文期刊>Hematology/Oncology Clinics of North America >New Trends in the Surgical Management of Invasive Bladder Cancer
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New Trends in the Surgical Management of Invasive Bladder Cancer

机译:浸润性膀胱癌的外科治疗新趋势

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摘要

Radical cystectomy with urinary diversion is one of the most complex urologic procedures and is associated with significant morbidity and mortality. Although it remains the gold standard for treatment of advanced localized disease, survival has not changed substantially over the preceding decades, and high complication rates and prolonged hospital stays remain common. However, recent years have seen the development of robotic-assisted radical cystectomy, trials on the benefit of extended lymph node dissection, and evidence supporting the role of Enhanced Recovery After Surgery protocols. This article reviews recent trends in surgical management of muscle-invasive bladder cancer.
机译:伴有尿流转移的根治性膀胱切除术是最复杂的泌尿外科手术之一,并与明显的发病率和死亡率相关。尽管它仍然是治疗晚期局部疾病的金标准,但在过去的几十年中,其生存率并未发生实质性变化,而且并发症的高发生率和住院时间的延长仍然很普遍。然而,近年来,已经看到了机器人辅助根治性膀胱切除术的发展,扩大淋巴结清扫术的益处的试验以及支持手术后增强恢复方案的证据。本文回顾了肌肉浸润性膀胱癌外科治疗的最新趋势。

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