title: New trends in the surgical management of invasive bladder cancer.
abstract: Radical cystectomy with urinary diversion is one of the most complex urologic procedures and is associated with significant morbidity and mortality. Although it remains the gold standard for treatment of advanced localized disease, survival has not changed substantially over the preceding decades, and high complication rates and prolonged hospital stays remain common. However, recent years have seen the development of robotic-assisted radical cystectomy, trials on the benefit of extended lymph node dissection, and evidence supporting the role of Enhanced Recovery After Surgery protocols. This article reviews recent trends in surgical management of muscle-invasive bladder cancer.
authors.affiliation: Harvard Medical School; Division of Urology, Brigham and Women's Hospital, Boston, MA 02115, USA. Electronic address: MPRESTON1@PARTNERS.ORG.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Preston
authors.affiliation: Beth and Dave Swalm Chair in Urologic Oncology, Scott Department of Urology; Director of Urologic Oncology; Director of the Multidisciplinary Bladder Cancer Program; Faculty Group Practice Medical Director, Baylor College of Medicine Medical Center, Houston, TX 77030, USA.
authors.forename: Seth P
authors.initials: SP
authors.lastname: Lerner
authors.affiliation: Harvard Medical School; Division of Urology, Brigham and Women's Hospital, Boston, MA 02115, USA.
authors.forename: Adam S
authors.initials: AS
authors.lastname: Kibel
mesh_terms: D003131:Combined Modality Therapy; D015653:Cystectomy / Q000379:methods; D019468:Disease Management; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009361:Neoplasm Invasiveness; D065287:Robotic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*
keywords: Centralization; ERAS; Lymph node dissection; Robotic-assisted radical cystectomy; Surgical trends