title: Panniculectomy and Cystectomy: An Approach to the Morbidly Obese Patient.
abstract: The obese patient undergoing radical cystectomy faces a unique set of challenges. We present the case of a 68-year-old gentleman who presented to our institution with Bacillus Calmette-Guerin refractory disease, a body mass index of 38.5, and a large pannus. The present paper describes our technique for performing radical cystectomy with ileal conduit urinary diversion and concomitant panniculectomy. We discuss the impact of obesity on patients undergoing radical cystectomy and how this may be mitigated by panniculectomy.
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213, USA.
authors.forename: Lee A
authors.identifier: 0000-0003-0004-6001
authors.initials: LA
authors.lastname: Hugar
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Turner
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, 3380 Boulevard of the Allies, Suite 158, Pittsburgh, PA 15213, USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Gusenoff
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213, USA.
authors.forename: Andres F
authors.initials: AF
authors.lastname: Correa
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213, USA.
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Jacobs
authors.affiliation: Department of Urology, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 700, Pittsburgh, PA 15213, USA.
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Davies