title: How to lower postoperative complications after radical cystectomy - a review.
abstract: BACKGROUND
  Lowering morbidity and mortality after RC is subject of considerable interest. Lately, many evidence-based data on improvements in operative technique, anesthetic management, and patient care have been published. In this article, we present a review of literature on how to lower postoperative complications after RC.
  
  
  METHODS
  The Medline, and Web of Science databases were searched without a time limit on February 2016 using the terms 'cystectomy' in conjunction with 'radical', 'bladder cancer', 'complications' or 'management'. Boolean operators (NOT, AND, OR) were also used in succession to narrow and broaden the search. The search was limited to the English, Polish and Spanish literature.
  
  
  RESULTS
  Many complications may be avoided by appropriate patient selection and meticulous introduction of care protocols.
  
  
  CONCLUSIONS
  RC as treatment free of complications, even in the hands of an experienced urologist, does not exist. A large number of complications are acceptable in the name of good long-term results. Optimum results are possible with proper surgical technique, good patients and urinary diversion selection and proper patient management in the pre-, peri, and postoperative period.
authors.affiliation: Urology and Urologic Oncology Department, Wrocław Medical University, Wrocław, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Krajewski
authors.affiliation: Urology and Urologic Oncology Department, Wrocław Medical University, Wrocław, Poland.
authors.forename: Romuald
authors.initials: R
authors.lastname: Zdrojowy
authors.affiliation: Urology and Urologic Oncology Department, Wrocław Medical University, Wrocław, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Tupikowski
authors.affiliation: Urology and Urologic Oncology Department, Wrocław Medical University, Wrocław, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Małkiewicz
authors.affiliation: Urology and Urologic Oncology Department, Wrocław Medical University, Wrocław, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Kołodziej
keywords: bladder cancer; complications