Standardization of radical cystectomy and pelvic lymph node dissection for bladder cancer: A collaborative group report
Standardization of radical cystectomy and pelvic lymph node dissection for bladder cancer: A collaborative group report
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DOI：
10.1097/01.ju.0000120289.78049.0e
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发表时间：
2004-05-01
影响因子：
6.6
通讯作者：
Lerner, S
中科院分区：
文献类型：
--
作者：
Herr, H;Lee, C;Lerner, S
目的：我们提出的标准，根治性膀胱切除术和盆腔淋巴结清扫手术治疗的浸润性膀胱cancer.Materials和方法：我们编制了连续的cyberspace经验的16位经验丰富的外科医生在过去3年（2000年至2002年）从4个机构。我们评估了患者、肿瘤和手术变量的边缘状态、盆腔淋巴结清扫的程度、检查的淋巴结数量和与膀胱癌结局相关的外科医生数量。手术利润率和节点检索数量与患者年龄，既往治疗，病理肿瘤阶段和程度的淋巴结清扫，但不是surgeon volume.Conclusions：根治性膀胱癌的标准，可以建立和实现由经验丰富的外科医生对患者提出不同的临床情况。
Purpose: We propose standards for radical cystectomy and pelvic lymph node dissection in the surgical treatment of patients with invasive bladder cancer.Materials and Methods: We compiled the consecutive cystectomy experience of 16 experienced surgeons during the last 3 years (2000 to 2002) from 4 institutions. We evaluated patient, tumor and surgical variables of margin status, extent of pelvic node dissection, number of nodes examined and surgeon volume associated with bladder cancer outcomes.Results: A total of 1,091 cystectomy cases were evaluated. Surgical margins and number of nodes retrieved correlated with patient age, prior treatments, pathological tumor stage and extent of node dissection, but not surgeon volume.Conclusions: Standards for radical cystectomy can be established and achieved by experienced surgeons operating on patients presenting with diverse clinical situations.