TY - JOUR
T1 - Contemporary Preoperative and Intraoperative Management of the Radical Cystectomy Patient
AU - Campbell, Jack Griffin
AU - Smelser, Woodson Wade
AU - Lee, Eugene K.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/5
Y1 - 2018/5
N2 - Radical cystectomy is a morbid procedure performed on an aging and often frail population. Nonetheless, advances in preoperative and intraoperative management have significantly improved patient outcomes. Preoperative optimization includes a focus on patient education, risk factor reduction, risk stratification, nutritional optimization, and bowel motility enhancement. Intraoperative optimization focuses on maintaining normothermia, restrictive fluid administration, minimization of blood transfusions, and nonopioid pain management.
AB - Radical cystectomy is a morbid procedure performed on an aging and often frail population. Nonetheless, advances in preoperative and intraoperative management have significantly improved patient outcomes. Preoperative optimization includes a focus on patient education, risk factor reduction, risk stratification, nutritional optimization, and bowel motility enhancement. Intraoperative optimization focuses on maintaining normothermia, restrictive fluid administration, minimization of blood transfusions, and nonopioid pain management.
KW - Bladder cancer
KW - Intraoperative optimization
KW - Outcomes
KW - Preoperative optimization
KW - Radical cystectomy
UR - http://www.scopus.com/inward/record.url?scp=85045058907&partnerID=8YFLogxK
U2 - 10.1016/j.ucl.2017.12.003
DO - 10.1016/j.ucl.2017.12.003
M3 - Review article
C2 - 29650133
AN - SCOPUS:85045058907
SN - 0094-0143
VL - 45
SP - 169
EP - 181
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
IS - 2
ER -