Radical cystectomy with extraperitoneal location of an artificial bladder

Abstract

Radical cystectomy remains the “golden standard” for treatment of patients with invasive bladder cancer. The operation is a technically complex surgical intervention after which there are various complications, including gastrointestinal complications such as intestinal obstruction, peritoneal adhesive disease and others. The use of extraperitoneal access for radical cystectomy with an extraperitoneal location of the artificial bladder in carefully selected patients reduces the number of abdominal postoperative complications and improves results in the immediate postoperative period. A literature review is presented which outlines the results of using extraperitoneal approach in comparison with other options for surgical approaches when performing radical cystectomy with intestinal bladder plastic surgery. It is noted that extraperitoneal access during this operation was previously used by Russian urologists.