Cystectomy

Cystectomy
Bladder layers and anatomy
ICD-9-CM57.6-57.7
MeSHD015653
OPS-301 code5-576

Cystectomy is a medical term for surgical removal of all or part of the urinary bladder. It may also be rarely used to refer to the removal of a cyst.[1] The most common condition warranting removal of the urinary bladder is bladder cancer.[2]

Two main types of cystectomies can be performed. A partial cystectomy (also known as a segmental cystectomy) involves removal of only a portion of the bladder.[3] A radical cystectomy involves removal of the entire bladder along with surrounding lymph nodes and other nearby organs that contain cancer.[4]

Evaluation of the tissue removed during cystectomy and lymph node dissection aids in determining pathological cancer staging. This type of cancer staging can be used to determine further work-up, treatment, and follow-up needed along with potential prognosis.[5]

After the bladder has been removed, a urinary diversion is necessary to allow elimination of urine.[6]

  1. ^ "NCI Dictionary of Cancer Terms". National Cancer Institute. 2011-02-02. Retrieved 2018-01-15.
  2. ^ Clark PE, Stein JP, Groshen SG, Cai J, Miranda G, Lieskovsky G, Skinner DG (July 2005). "Radical cystectomy in the elderly: comparison of clinical outcomes between younger and older patients". Cancer. 104 (1): 36–43. doi:10.1002/cncr.21126. PMID 15912515.
  3. ^ "Segmental cystectomy". Retrieved 2018-01-15.
  4. ^ Wieder JA (2014). Pocket Guide to Urology. US. pp. 54–57. ISBN 978-0-9672845-6-9.{{cite book}}: CS1 maint: location missing publisher (link)
  5. ^ "NCCN Clinical Practice Guidelines in Oncology". www.nccn.org. 2018. Retrieved 2018-01-12.
  6. ^ Hanno PM, Guzzo TJ, Malkowicz SB, Wein AJ (2014). Penn clinical manual of urology (2nd ed.). Philadelphia, PA. ISBN 9781455753598. OCLC 871067936.{{cite book}}: CS1 maint: location missing publisher (link)