Cystectomy

Cystectomy

Anesthesia type	General / Neuraxial
Airway	ETT
Lines and access	Partial: PIV x 1 (20) Radical: PIV x 2 (18 or 16)
Monitors	Partial: Standard Radical: Std + art line
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
Article quality
Editor rating	In development
User likes	0

A cystectomy is the removal of all or part of the urinary bladder. Most commonly, this procedure is performed to address cancer.

Preoperative management

Patient evaluation

System	Considerations
Neurologic
Cardiovascular
Respiratory
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Regional and neuraxial techniques

• If spinal used, ensure T4 sensory level
  • Consider using epi in spinal to prolong block
• Can consider placing epidural if significant post-op pain anticipated

Intraoperative management

Positioning

• Supine
• Sometimes females placed in lithotomy

Maintenance and surgical considerations

• If radical cystectomy, have T&S and consider T&C 2 units

Postoperative management

Potential complications

• Bleeding

Procedure variants

	Radical cystectomy	Partial Cystectomy	Open cystectomy	Minimally invasive cystectomy
Unique considerations
Position
Surgical time	4-6 hours	~ 2 hours (urinary diversion not required)
EBL	300-1500	Minimal
Postoperative disposition
Pain management
Potential complications