{"id":12068,"date":"2025-08-05T09:49:27","date_gmt":"2025-08-05T13:49:27","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/radical-cystectomy\/"},"modified":"2025-08-05T09:49:27","modified_gmt":"2025-08-05T13:49:27","slug":"cistectomia-radical","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cistectomia-radical\/","title":{"rendered":"Cistectom\u00eda Radical"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12068","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>La cistectom\u00eda radical es un procedimiento quir\u00fargico que implica la extirpaci\u00f3n completa de la vejiga urinaria y los \u00f3rganos adyacentes para tratar el c\u00e1ncer de vejiga.<sup>1<\/sup> En pacientes masculinos, esto generalmente incluye la extirpaci\u00f3n de la pr\u00f3stata y las ves\u00edculas seminales, mientras que en pacientes femeninas, puede incluir la extirpaci\u00f3n del \u00fatero, los ovarios, las trompas de Falopio y parte de la pared vaginal anterior.<sup>2<\/sup> El procedimiento tambi\u00e9n com\u00fanmente implica la extirpaci\u00f3n de los ganglios linf\u00e1ticos regionales (linfadenectom\u00eda p\u00e9lvica) para evaluar la propagaci\u00f3n del c\u00e1ncer y mejorar los resultados oncol\u00f3gicos.<sup>3<\/sup> Despu\u00e9s de la extirpaci\u00f3n de la vejiga, se realiza un procedimiento de derivaci\u00f3n urinaria para crear una nueva v\u00eda para que la orina salga del cuerpo.<sup>4<\/sup> La cistectom\u00eda radical se considera una de las t\u00e9cnicas quir\u00fargicas m\u00e1s desafiantes en urolog\u00eda y representa el tratamiento est\u00e1ndar para el c\u00e1ncer de vejiga con invasi\u00f3n muscular (MIBC) en ausencia de enfermedad metast\u00e1sica.<sup>5<\/sup><\/p>","gt-synonyms":"Cistectom\u00eda completa, Cistectom\u00eda total, Cirug\u00eda de extirpaci\u00f3n radical de la vejiga, RC","gt-citation":"[1] Aminoltejari K, Black PC. Radical cystectomy: a review of techniques, developments and controversies. Transl Androl Urol. 2020 Dec;9(6):3073-3081. DOI: 10.21037\/tau.2020.03.23\n\n[2] Afak YS, Wazir BS, Hamid A, Wani MS, Aziz R. Comparative Study of Various Forms of Urinary Diversion after Radical Cystectomy in Muscle Invasive Carcinoma Urinary Bladder. Int J Health Sci (Qassim). 2009 Jan;3(1):3-11. PMID: 21475504\n\n[3] McGuire MS, Grimaldi G, Grotas J, Russo P. The type of urinary diversion after radical cystectomy significantly impacts on the patient's quality of life. Ann Surg Oncol. 2000 Jan-Feb;7(1):4-8. DOI: 10.1007\/s10434-000-0004-2\n\n[4] National Cancer Institute. Definition of radical cystectomy - NCI Dictionary of Cancer Terms. https:\/\/www.cancer.gov\/publications\/dictionaries\/cancer-terms\/def\/radical-cystectomy\n\n[5] Mayo Clinic. Bladder removal surgery (cystectomy). https:\/\/www.mayoclinic.org\/tests-procedures\/cystectomy\/about\/pac-20385108","gt-clinical-context":"<p>La cistectom\u00eda radical est\u00e1 indicada principalmente para el tratamiento del c\u00e1ncer de vejiga con invasi\u00f3n muscular (estadios T2-T4a).<sup>1<\/sup> Tambi\u00e9n se recomienda para el c\u00e1ncer de vejiga sin invasi\u00f3n muscular de alto riesgo que no responde a la terapia intravesical (como el tratamiento con BCG), particularmente en casos de tumores T1 de alto grado o carcinoma in situ (CIS) que persisten o recurren despu\u00e9s de una adecuada tratamiento.<sup>2<\/sup><\/p>\n    \n<p>La selecci\u00f3n de pacientes para cistectom\u00eda radical implica una cuidadosa consideraci\u00f3n del estadio de la enfermedad, el estado de salud general y las preferencias del paciente.<sup>3<\/sup> El enfoque de tratamiento \u00f3ptimo para el c\u00e1ncer de vejiga con invasi\u00f3n muscular no metast\u00e1sico generalmente consiste en quimioterapia neoadyuvante basada en cisplatino seguida de cistectom\u00eda radical con disecci\u00f3n de ganglios linf\u00e1ticos p\u00e9lvicos.<sup>4<\/sup> Para pacientes seleccionados, terapia trimodal (m\u00e1xima resecci\u00f3n transuretral seguida de quimiorradiaci\u00f3n) puede considerarse como un m\u00e9todo alternativo para preservar la vejiga, aunque la cistectom\u00eda radical sigue siendo una opci\u00f3n para la terapia de rescate si este m\u00e9todo falla.<sup>5<\/sup><\/p>\n    \n<p>El procedimiento quir\u00fargico se puede realizar mediante t\u00e9cnicas abiertas, laparosc\u00f3picas o asistidas por robot, aunque las tasas de complicaciones y morbilidad siguen siendo significativas independientemente del abordaje.<sup>6<\/sup> Despu\u00e9s de la extirpaci\u00f3n de la vejiga, es necesaria la derivaci\u00f3n urinaria, con opciones que incluyen el conducto ileal (el m\u00e1s com\u00fan), la bolsa cut\u00e1nea continente (como la bolsa de Indiana) o la neovejiga ortot\u00f3pica. reconstrucci\u00f3n.<sup>7<\/sup> Cada tipo de desv\u00edo tiene ventajas y desventajas espec\u00edficas, y la selecci\u00f3n depende de los factores del paciente, las caracter\u00edsticas de la enfermedad y la experiencia del cirujano.<sup>8<\/sup><\/p>\n    \n<p>La atenci\u00f3n posoperatoria se centra en el manejo de las complicaciones, que pueden incluir sangrado, infecci\u00f3n, mala cicatrizaci\u00f3n de heridas, obstrucci\u00f3n intestinal y alteraciones metab\u00f3licas.<sup>9<\/sup> El seguimiento a largo plazo es esencial para monitorear la recurrencia del c\u00e1ncer, evaluar la funci\u00f3n renal y abordar los problemas de calidad de vida relacionados con la desviaci\u00f3n urinaria.<sup>10<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":64},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ 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