Skip to main content
Erschienen in: Im Fokus Onkologie 4/2019

28.08.2019 | Harnblasenkarzinom | Uroonkologie

Zystektomie — Harnableitung — Chemotherapie

Management des muskelinvasiven Harnblasenkarzinoms

verfasst von: Prof. Dr. med. Alexander Karl

Erschienen in: Im Fokus Onkologie | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Zusammenfassung

Wird ein muskelinvasiver oder ein therapieresistenter nicht muskelinvasiver Blasentumor diagnostiziert, steht dem Patienten eine radikale Zystektomie bevor. Um sich für eine in der Folge notwendige Form der Harnableitung entscheiden zu können, muss der Patient im Vorfeld ausführlich über die jeweiligen Vor- und Nachteile aufgeklärt werden.
Literatur
1.
Zurück zum Zitat Gschwend J et al. Indications and oncological outcome of radical cystectomy for urothelial bladder cancer. Eur Urol Suppl. 2010;9(1):10–8CrossRef Gschwend J et al. Indications and oncological outcome of radical cystectomy for urothelial bladder cancer. Eur Urol Suppl. 2010;9(1):10–8CrossRef
2.
Zurück zum Zitat Witjes AJ et al. Updated 2016 EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol. 2017;71(3):462–75.CrossRef Witjes AJ et al. Updated 2016 EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol. 2017;71(3):462–75.CrossRef
3.
Zurück zum Zitat Bochner BH et al. A randomized trial of robot- assisted laparoscopic radical cystectomy. N Engl J Med. 2014;371(4):389–90.CrossRef Bochner BH et al. A randomized trial of robot- assisted laparoscopic radical cystectomy. N Engl J Med. 2014;371(4):389–90.CrossRef
4.
Zurück zum Zitat Cody JD et al. Urinary diversion and bladder reconstruction/replacement using intestinal segments for intractable incontinence or following cystectomy. Cochrane Database Syst Rev. 2012;(2):CD003306. Cody JD et al. Urinary diversion and bladder reconstruction/replacement using intestinal segments for intractable incontinence or following cystectomy. Cochrane Database Syst Rev. 2012;(2):CD003306.
5.
Zurück zum Zitat Tyritzis SI, Wiklund NP. Is the open cystectomy era over? An update on the available evidence. Int J Urol. 2018;25(3):187–95.CrossRef Tyritzis SI, Wiklund NP. Is the open cystectomy era over? An update on the available evidence. Int J Urol. 2018;25(3):187–95.CrossRef
6.
Zurück zum Zitat Ahmadi H, Lee CT. Health-related quality of life with urinary diversion. Curr Opin Urol. 2015;25(6):562–9CrossRef Ahmadi H, Lee CT. Health-related quality of life with urinary diversion. Curr Opin Urol. 2015;25(6):562–9CrossRef
7.
Zurück zum Zitat Ali AS et al. Health related quality of life (HRQoL) after cystectomy: comparison between orthotopic neobladder and ileal conduit diversion. Eur J Surg Oncol. 2015;41(3):295–9CrossRef Ali AS et al. Health related quality of life (HRQoL) after cystectomy: comparison between orthotopic neobladder and ileal conduit diversion. Eur J Surg Oncol. 2015;41(3):295–9CrossRef
8.
Zurück zum Zitat Goossens-Laan CA et al. Effects of age and comorbidity on treatment and survival of patients with muscle-invasive bladder cancer. Int J Cancer. 2014;135(4):905–12.CrossRef Goossens-Laan CA et al. Effects of age and comorbidity on treatment and survival of patients with muscle-invasive bladder cancer. Int J Cancer. 2014;135(4):905–12.CrossRef
9.
Zurück zum Zitat Aziz A et al. Prediction of 90-day mortality after radical cystectomy for bladder cancer in a prospective European multicenter cohort. Eur Urol. 2014;66(1):156–63.CrossRef Aziz A et al. Prediction of 90-day mortality after radical cystectomy for bladder cancer in a prospective European multicenter cohort. Eur Urol. 2014;66(1):156–63.CrossRef
10.
Zurück zum Zitat Karl A et al. Prospective assessment of malnutrition in urologic patients. Urology. 2009;73(5):1072–6CrossRef Karl A et al. Prospective assessment of malnutrition in urologic patients. Urology. 2009;73(5):1072–6CrossRef
11.
Zurück zum Zitat Karl A et al. A new concept for early recovery after surgery for patients undergoing radical cystectomy for bladder cancer: results of a prospective randomized study. J Urol. 2014;191(2):335–40.CrossRef Karl A et al. A new concept for early recovery after surgery for patients undergoing radical cystectomy for bladder cancer: results of a prospective randomized study. J Urol. 2014;191(2):335–40.CrossRef
12.
Zurück zum Zitat Udovicich C et al. Hospital volume and perioperative outcomes for radical cystectomy: a population study. BJU Int. 2017;119 Suppl 5:26–32.CrossRef Udovicich C et al. Hospital volume and perioperative outcomes for radical cystectomy: a population study. BJU Int. 2017;119 Suppl 5:26–32.CrossRef
13.
Zurück zum Zitat Buchner A et al. Dramatic impact of blood transfusion on cancer-specific survival after radical cystectomy irrespective of tumor stage. Scand J Urol. 2017;51(2):130–6.CrossRef Buchner A et al. Dramatic impact of blood transfusion on cancer-specific survival after radical cystectomy irrespective of tumor stage. Scand J Urol. 2017;51(2):130–6.CrossRef
14.
Zurück zum Zitat Gierth M et al. Preoperative anemia is associated with adverse outcome in patients with urothelial carcinoma of the bladder following radical cystectomy. J Cancer Res Clin Oncol. 2015;141(10):1819–26.CrossRef Gierth M et al. Preoperative anemia is associated with adverse outcome in patients with urothelial carcinoma of the bladder following radical cystectomy. J Cancer Res Clin Oncol. 2015;141(10):1819–26.CrossRef
15.
Zurück zum Zitat Pang KH et al. Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. Eur Urol. 2017; pii: S0302-2838(17)30660-7 Pang KH et al. Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. Eur Urol. 2017; pii: S0302-2838(17)30660-7
16.
Zurück zum Zitat Roghmann F et al. Perioperative outcomes after radical cystectomy at NCI-designated centres: are they any better? Can Urol Assoc J. 2015;9(5-6):207–12CrossRef Roghmann F et al. Perioperative outcomes after radical cystectomy at NCI-designated centres: are they any better? Can Urol Assoc J. 2015;9(5-6):207–12CrossRef
17.
Zurück zum Zitat Xia L, Guzzo TJ. Preoperative anemia and low hemoglobin level are associated with worse clinical outcomes in patients with bladder cancer undergoing radical cystectomy: a Meta-analysis. Clin Genitourin Cancer. 2017;15(2):263–272.e4CrossRef Xia L, Guzzo TJ. Preoperative anemia and low hemoglobin level are associated with worse clinical outcomes in patients with bladder cancer undergoing radical cystectomy: a Meta-analysis. Clin Genitourin Cancer. 2017;15(2):263–272.e4CrossRef
18.
Zurück zum Zitat Geschwend JE et al. Limited versus extended pelvic lymphadenectomyin patients with bladder cancer undergoing radical cystectomy: survival results from randomized trail (LEA AUO AB 25/02). J Clin Oncol. 2016;34(suppl 15):Abstr 4503CrossRef Geschwend JE et al. Limited versus extended pelvic lymphadenectomyin patients with bladder cancer undergoing radical cystectomy: survival results from randomized trail (LEA AUO AB 25/02). J Clin Oncol. 2016;34(suppl 15):Abstr 4503CrossRef
Metadaten
Titel
Zystektomie — Harnableitung — Chemotherapie
Management des muskelinvasiven Harnblasenkarzinoms
verfasst von
Prof. Dr. med. Alexander Karl
Publikationsdatum
28.08.2019
Verlag
Springer Medizin
Erschienen in
Im Fokus Onkologie / Ausgabe 4/2019
Print ISSN: 1435-7402
Elektronische ISSN: 2192-5674
DOI
https://doi.org/10.1007/s15015-019-0157-8

Weitere Artikel der Ausgabe 4/2019

Im Fokus Onkologie 4/2019 Zur Ausgabe

Menschen,Ideen,Perspektiven

Wer ist ... Wolfgang Janni?

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.