{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T14:26:17Z","timestamp":1648736777174},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Auch heute noch stellt die radikale Zystektomie mit Anlage einer Harnableitung einen der komplikationstr\u00e4chtigsten Eingriffe in der Uro-Onkologie dar. Insbesondere im Langzeitverlauf, aber auch perioperativ spielen dabei durch die Harnableitung bedingte Probleme eine wesentliche Rolle.<\/jats:p><jats:p>Perioperativ stehen dabei im Wesentlichen gastrointestinale Probleme wie etwa ein Ileus, aber auch Infekte und fr\u00fche Komplikationen der unterschiedlichen Anastomosen im Vordergrund. W\u00e4hrend ein Ileus ebenso wie perioperative Infekte i.\u200ad.\u200aR. medikament\u00f6s behandelt werden k\u00f6nnen, erfordern Insuffizienzen der intestinalen Anastomose regelhaft und Insuffizienzen der ureterointestinalen Anastomosen h\u00e4ufig operative Revisionen.<\/jats:p><jats:p>Im Langzeitverlauf k\u00f6nnen Narbenbildungen zu chronischen Harnabflussbehinderungen und bei kontinenten Harnableitungen zur Steinbildung f\u00fchren und ebenso wie parastomale Hernien weitere Therapien erforderlich machen. Funktionelle Darmprobleme k\u00f6nnen die Lebensqualit\u00e4t der Patienten nachhaltig beeinflussen.<\/jats:p><jats:p>Durch eine verbesserte Vorbereitung pr\u00e4operativ und die begleitenden Ma\u00dfnahmen w\u00e4hrend des station\u00e4ren Aufenthalts k\u00f6nnen nicht operationsbedingte Komplikationen signifikant reduziert werden.<\/jats:p><jats:p>Die Zystektomie mit der therapieassoziierten Morbidit\u00e4t ist ein Paradebeispiel f\u00fcr eine zentrumsbasierte Operation um Komplikationen sowohl perioperativ als auch im weiteren Follow-up zu reduzieren.<\/jats:p>","DOI":"10.1055\/a-1134-6642","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:50:45Z","timestamp":1590627045000},"page":"456-462","source":"Crossref","is-referenced-by-count":0,"title":["Blasenkarzinom \u2212 Komplikationen der Harnableitung"],"prefix":"10.1055","volume":"51","author":[{"given":"David","family":"Pfister","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Uro-Onkologie, Roboter-assistierte und spezielle urologische Chirurgie Universit\u00e4tsklinik K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnter","family":"Niegisch","sequence":"additional","affiliation":[{"name":"Heinrich-Heine-Universit\u00e4t, Medizinische Fakult\u00e4t, Klinik f\u00fcr Urologie, D\u00fcsseldorf"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,5,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1016\/j.juro.2010.09.096","article-title":"Long-term complications of conduit urinary diversion","volume":"185","author":"M S Shimko","year":"2011","journal-title":"The Journal of urology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.eururo.2008.07.031","article-title":"Defining early morbidity of radical cystectomy for patients with bladder cancer using a standardized reporting methodology","volume":"55","author":"A Shabsigh","year":"2009","journal-title":"European urology"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1016\/j.juro.2009.05.032","article-title":"Complications and mortality after radical cystectomy for bladder transitional cell cancer","volume":"182","author":"G Novara","year":"2009","journal-title":"The Journal of urology"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1016\/j.eururo.2014.12.007","article-title":"Systematic review and cumulative analysis of perioperative outcomes and complications after robot-assisted radical cystectomy","volume":"67","author":"G Novara","year":"2015","journal-title":"European urology"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.eururo.2013.01.010","article-title":"Complications after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium","volume":"64","author":"R S Johar","year":"2013","journal-title":"European urology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1007\/s11934-015-0493-y","article-title":"Preoperative and modifiable factors to lower postoperative complications after radical cystectomy","volume":"16","author":"M C Hupe","year":"2015","journal-title":"Curr Urol Rep"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1016\/j.eururo.2012.11.051","article-title":"Definition, incidence, risk factors, and prevention of paralytic ileus following radical cystectomy: a systematic review","volume":"64","author":"J A Ramirez","year":"2013","journal-title":"European urology"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004930.pub3","article-title":"Systemic prokinetic pharmacologic treatment for postoperative adynamic ileus following abdominal surgery in adults","author":"U Traut","year":"2008","journal-title":"The Cochrane database of systematic reviews"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1007\/s11934.016-0607-1","article-title":"Gastrointestinal Complications in Patients Who Undergo Radical Cystectomy with Enhanced Recovery Protocol","volume":"17","author":"H Djaladat","year":"2016","journal-title":"Curr Urol Rep"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1016\/j.eururo.2016.05.031","article-title":"Enhanced Recovery Pathways Versus Standard Care After Cystectomy: A Meta-analysis of the Effect on Perioperative Outcomes","volume":"70","author":"M D Tyson","year":"2016","journal-title":"European urology"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-019-02982-6","article-title":"Complication rate after cystectomy following pelvic radiotherapy: an international, multicenter, retrospective series of 682 cases","author":"P Gontero","year":"2019","journal-title":"World journal of urology"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1089\/sur.2017.291","article-title":"Post-Operative Infections among Patients Undergoing Radical Cystectomy at a Tertiary Center","volume":"19","author":"K Kaczmarek","year":"2018","journal-title":"Surg Infect (Larchmt)"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1007\/s00345-018-2181-2","article-title":"Urinary tract infections following radical cystectomy and urinary diversion: a review of 1133 patients","volume":"36","author":"T G Clifford","year":"2018","journal-title":"World journal of urology"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2019.12.021","article-title":"Urinary tract infections following radical cystectomy with enhanced recovery protocol: A prospective study","author":"A Ghoreifi","year":"2020","journal-title":"Urologic oncology"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1186\/s12879.019-3932-4","article-title":"Incidence and microbiology of post-operative infections after radical cystectomy and ureteral stent removal; a retrospective cohort study","volume":"19","author":"E Kolwijck","year":"2019","journal-title":"BMC Infect Dis"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.urpr.2018.01.003","article-title":"The Timing and Frequency of Infectious Complications after Radical Cystectomy: An Opportunity for Rescue Antibiotic Treatment","volume":"6","author":"B J Jordan","year":"2019","journal-title":"Urol Pract"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"300 e309","DOI":"10.1016\/j.urolonc.2019.01.017","article-title":"Use and duration of antibiotic prophylaxis and the rate of urinary tract infection after radical cystectomy for bladder cancer: Results of a multicentric series","volume":"37","author":"M Haider","year":"2019","journal-title":"Urologic oncology"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1007\/s00345-011-0722-z","article-title":"Preoperative assessment of the patient and risk factors for infectious complications and tentative classification of surgical field contamination of urological procedures","volume":"30","author":"M Grabe","year":"2012","journal-title":"World journal of urology"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/j.jamcollsurg.2016.10.029","article-title":"American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update","volume":"224","author":"K A Ban","year":"2017","journal-title":"J Am Coll Surg"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1080\/14787210.2020.1726740","article-title":"Acute wound infections management: the 'Don'ts' from a multidisciplinary expert panel","volume":"18","author":"G Sganga","year":"2020","journal-title":"Expert Rev Anti Infect Ther"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/j.clgc.2012.12.003","article-title":"Perioperative Complications and Mortality After Radical Cystectomy When Using a Standardized Reporting Methodology","volume":"11","author":"R Schiavina","year":"2013","journal-title":"Clinical genitourinary cancer"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"5055","DOI":"10.2147\/Cmar.S199432","article-title":"Predictors of postoperative complications after robot-assisted radical cystectomy with extracorporeal urinary diversion","volume":"11","author":"C U Lee","year":"2019","journal-title":"Cancer Management and Research"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1016\/j.juro.2007.09.066","article-title":"To stent or not to stent perioperatively the ureteroileal anastomosis of ileal orthotopic bladder substitutes and ileal conduits? Results of a prospective randomized trial","volume":"179","author":"A Mattei","year":"2008","journal-title":"The Journal of urology"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1159\/000335212","article-title":"Ureteral stents placed at the time of urinary diversion decreases postoperative morbidity","volume":"88","author":"J K Mullins","year":"2012","journal-title":"Urologia internationalis"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.ijsu.2019.10.023","article-title":"Internal double-J stent was associated with a lower incidence of ureteroileal anastomosis stricture than external ureteral catheter for patients undergoing radical cystectomy and orthotopic neobladder: A systematic review and meta-analysis","volume":"72","author":"Y Yang","year":"2019","journal-title":"Int J Surg"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1708","DOI":"10.1016\/j.juro.2013.12.041","article-title":"Risk factors for the development of parastomal hernia after radical cystectomy","volume":"191","author":"T F Donahue","year":"2014","journal-title":"The Journal of urology"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"240","DOI":"10.4111\/icu.2016.57.4.240","article-title":"Parastomal hernias after radical cystectomy and ileal conduit diversion","volume":"57","author":"T F Donahue","year":"2016","journal-title":"Investig Clin Urol"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1007\/s00120-012-2962-y","article-title":"Correction of parastomal hernia using meshes","volume":"51","author":"A Lampel","year":"2012","journal-title":"Der Urologe Ausg A"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e435","DOI":"10.1016\/j.jviscsurg.2011.10.006","article-title":"Parastomal hernia. A study of the French federation of ostomy patients","volume":"148","author":"J Ripoche","year":"2011","journal-title":"J Visc Surg"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/j.urology.2019.05.006","article-title":"Parastomal Hernia Repair With 3-D Mesh Implants After Radical Cystectomy and Ileal Conduit Urinary Diversion - A Single-center Experience Using a Purpose Made Alloplastic Mesh Implant","volume":"131","author":"K H Tully","year":"2019","journal-title":"Urology"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/j.juro.2017.02.3339","article-title":"Natural History, Predictors and Management of Ureteroenteric Strictures after Robot Assisted Radical Cystectomy","volume":"198","author":"Y E Ahmed","year":"2017","journal-title":"The Journal of urology"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.urology.2019.07.054","article-title":"A Population-based Study of Ureteroenteric Strictures After Open and Robot-assisted Radical Cystectomy","volume":"135","author":"A C Goh","year":"2020","journal-title":"Urology"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.06.024","article-title":"Predictors of Benign Uretero-enteric Anastomotic Strictures After Radical Cystectomy and Urinary Diversion","author":"A A Katherine","year":"2018","journal-title":"Urology"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.urology.2015.03.014","article-title":"Ureteroenteric Strictures After Open Radical Cystectomy and Urinary Diversion: The University of Southern California Experience","volume":"86","author":"S H Shah","year":"2015","journal-title":"Urology"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"E284","DOI":"10.5489\/cuaj.2692","article-title":"Bricker versus Wallace anastomosis: A meta-analysis of ureteroenteric stricture rates after ileal conduit urinary diversion","volume":"9","author":"N F Davis","year":"2015","journal-title":"Can Urol Assoc J"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1111\/j.1464-410X.2007.07207.x","article-title":"Surgical anatomy of the ureter","volume":"100","author":"R Frober","year":"2007","journal-title":"BJU international"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"142","DOI":"10.21037\/tau.2019.09.05","article-title":"Persistent, long-term risk for ureteroenteric anastomotic stricture formation: the case for long term follow-up","volume":"9","author":"D Y Yang","year":"2020","journal-title":"Transl Androl Urol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1007\/s00345-018-2386-4","article-title":"Safe transition from extracorporeal to intracorporeal urinary diversion following robot-assisted cystectomy: a recipe for reducing operative time, blood loss and complication rates","volume":"37","author":"T W Tan","year":"2019","journal-title":"World journal of urology"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1756287219839631","DOI":"10.1177\/1756287219839631","article-title":"Real-time indocyanine green angiography with the SPY fluorescence imaging platform decreases benign ureteroenteric strictures in urinary diversions performed during radical cystectomy","volume":"11","author":"J K Shen","year":"2019","journal-title":"Therapeutic advances in urology"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1097\/00005392-199709000-00016","article-title":"Long-term results of endoureterotomy for benign ureteral and ureteroenteric strictures","volume":"158","author":"J S Wolf Jr.","year":"1997","journal-title":"The Journal of urology"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1016\/s0090-4295(01)01420-0","article-title":"Long-term results of treatment for ureteroenteric strictures","volume":"58","author":"D S DiMarco","year":"2001","journal-title":"Urology"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"33 e31","DOI":"10.1016\/j.urolonc.2016.07.018","article-title":"Treatment of ureteral anastomotic strictures with reimplantation and survival after cystectomy and urinary diversion","volume":"35","author":"A M Helfand","year":"2017","journal-title":"Urologic oncology"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1016\/s0022-5347(17)37517-1","article-title":"Metabolic complications of urinary intestinal diversion","volume":"147","author":"W S McDougal","year":"1992","journal-title":"The Journal of urology"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/s0022-5347(01)61909-8","article-title":"The ileal neobladder: complications and functional results in 363 patients after 11 years of followup","volume":"161","author":"R E Hautmann","year":"1999","journal-title":"The Journal of urology"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"2207","DOI":"10.1016\/j.juro.2011.02.006","article-title":"25 years of experience with 1,000 neobladders: long-term complications","volume":"185","author":"R E Hautmann","year":"2011","journal-title":"The Journal of urology"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1111\/j.1442-2042.2010.02599.x","article-title":"Short ileal segment for orthotopic neobladder: a feasibility study","volume":"17","author":"P Aleksic","year":"2010","journal-title":"International journal of urology: official journal of the Japanese Urological Association"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.urology.2016.04.013","article-title":"Long-term Functional, Urodynamic, and Metabolic Outcome of a Modified Orthotopic Neobladder Created With a Short Ileal Segment: Our 5-year Experience","volume":"94","author":"S S Yadav","year":"2016","journal-title":"Urology"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1111\/bju.12239","article-title":"Risk of in-hospital complications after radical cystectomy for urinary bladder carcinoma: population-based follow-up study of 7608 patients","volume":"112","author":"M van Hemelrijck","year":"2013","journal-title":"BJU international"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"237 e231","DOI":"10.1016\/j.urolonc.2017.12.014","article-title":"Diarrhea and flatulence are major bowel disorders after radical cystectomy: Results from a cross-sectional study in bladder cancer patients","volume":"36","author":"M C Hupe","year":"2018","journal-title":"Urologic oncology"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1007\/s00345-014-1466-3","article-title":"Long-term bowel disorders following radial cystectomy: an underestimated issue?","volume":"33","author":"M W Kramer","year":"2015","journal-title":"World journal of urology"},{"key":"ref52","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.15032","article-title":"Marshall and Warren Lecture 2019: A paradigm shift in pathophysiological basis of irritable bowel syndrome and its implication on treatment","author":"U C Ghoshal","year":"2020","journal-title":"J Gastroenterol Hepatol"}],"container-title":["Aktuelle Urologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1134-6642.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T00:00:39Z","timestamp":1598486439000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1134-6642"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,27]]},"references-count":51,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2020,8,26]]},"published-print":{"date-parts":[[2020,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1134-6642","relation":{},"ISSN":["0001-7868","1438-8820"],"issn-type":[{"value":"0001-7868","type":"print"},{"value":"1438-8820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,27]]}}}