Laparoscopic Radical Cystectomy in the Elderly - Results of a Single Center LRC only Series
Int. braz. j. urol
; 42(6): 1099-1108, Nov.-Dec. 2016. tab, graf
Article
em En
| LILACS
| ID: biblio-828938
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT Objective:
To compare outcome of laparoscopic radical cystectomy (LRC) with ileal conduit in 22 elderly ( (≥75 years) versus 51 younger (<75 years) patients. patients. Materials andMethods:
Analysis of prospectively gathered data of a single institution LRC only series was performed. Selection bias for LRC versus non-surgical treatments was assessed with data retrieved from the Netherlands Cancer Registry.Results:
Median age difference between LRC groups was 9.0 years. (77.0 versus 68.0 years). Both groups had similar surgical indications, body mass index and gender distribution. Charlson Comorbidity Index score was 3 versus 4 in ≥50% of younger and elderly patients. Median operative time (340 versus 341 min) and estimated blood loss (<500 versus >500mL) did not differ between groups. Median total hospital stay was 12.0 versus 14.0 days for younger and elderly patients. Grade I-II 90-d complication rate was higher for elderly patients (68 versus 43%, p=0.05). Grade III-V 90-d complication rate was equal for both groups (23 versus 29%, p=0.557). 90-d mortality rate was higher for elderly patients (14 versus 4%, p=0.157). Median follow-up was 40.0 months for younger and 57.0 months for elderly patients. Estimated overall and cancer-specific survival at 5years. was 46% versus 35% and 64% versus 64% for younger and elderly patients respectively.Conclusions:
Our results suggest that LRC is feasible in elderly patients, where a non-surgical treatment is usually favoured.Palavras-chave
Texto completo:
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Índice:
LILACS
Assunto principal:
Complicações Pós-Operatórias
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Neoplasias da Bexiga Urinária
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Cistectomia
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Laparoscopia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int. braz. j. urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2016
Tipo de documento:
Article