Urologic Silo

Radical Cystectomy & Ileal Conduit

Radical cystectomy and urinary diversion using an ileal conduit for bladder carcinoma.

CLINICAL ONCOLOGY PORTAL

Surgical Clearance Protocol

This protocol details the clinical parameters, resection boundaries, and anatomical checkpoints managed during the procedure. The priority is achieving R0 (microscopically negative) margins while preserving surrounding neural and vascular structures.

Procedural Stages

Pelvic lymph node dissection (PLND) clearing iliac and obturator regions.
Excision of the bladder, prostate, and seminal vesicles (men) or uterus and anterior vaginal wall (women).
Isolation of a 15 cm distal ileal segment preserving mesenteric blood flow.
Ureteroileal anastomosis and stoma creation.

Clinical Citations & E-E-A-T Reference

ACADEMIC LOG

This procedure complies with international oncology benchmarks (NCCN/ESMO) and is informed by peer-reviewed studies published by Dr. Gurupreet Singh Gill:

International Journal of Urology Research (IJUR) - Giant Adrenal Carcinoma Case (DOI: 10.33545/26646617.2024.v6.i1b.44 →)

Surgical Benchmarks

Clearance Goal: R0 Resection
Frozen Section: Intraoperative Verification
Systemic Care: Adjuvant Multidisciplinary Review