Cystectomy
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Revision as of 11:45, 16 April 2021 by Barrett Larson (talk | contribs)
Cystectomy
| Anesthesia type |
General / Neuraxial |
|---|---|
| Airway |
ETT |
| Lines and access |
Partial: PIV x 1 (20) |
| Monitors |
Partial: Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| 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 |
Labs and studies
Operating room setup
Patient preparation and premedication
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
Monitoring and access
Induction and airway management
Positioning
- Supine
- Sometimes females placed in lithotomy
Maintenance and surgical considerations
- If radical cystectomy, have T&S and consider T&C 2 units
Emergence
Postoperative management
Disposition
Pain 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 |