Experience of surgeon, hospital, and comprehensive cancer team critical to the outcomes of radical cystectomy and urinary diversion

Though radical cystectomy is considered gold standard for muscle-invasive urothelial carcinoma (UC) of the bladder, the operation is fraught with significant perioperative morbidity with a complication rate ranging from 34% to 52% (1,2). Given the nature/biology of the disease, operative time, hospital stay and complication profile, UC is costly from a health services perspective (3). Mossanen et al. investigated the rate and incidence of complications and its effect on perioperative mortality utilizing the Premier Healthcare Database.