Validity and Safety of Robot-Assisted Laparoscopic Radical Cystectomy for the Elderly: Results of Perioperative Outcomes in Patients Aged ≥80 Years.

IF 1 Q4 UROLOGY & NEPHROLOGY
Kenji Tanabe, Yasukazu Nakanishi, Yosuke Umino, Naoya Okubo, Madoka Kataoka, Shugo Yajima, Hitoshi Masuda
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引用次数: 2

Abstract

Objective: To improve perioperative outcomes, robot-assisted radical cystectomy has gained increasing interest. This study aimed to assess the detailed perioperative complications of robot-assisted radical cystectomy in elderly aged ≥80 years and compare them with those of non-elderly.

Material and methods: We retrospectively analyzed the clinical features of 74 patients who underwent robotassisted radical cystectomy for bladder cancer between September 2018 and September 2021. Perioperative complication was classified by the Clavien-Dindo classification and organ system-based categories. We assessed the relationship between age or Charlson comorbidity index score (≥3 or <3) and the incidence of perioperative complication or rehospitalization rate within 90 days postoperatively.

Results: Of the 74 patients, perioperative complication of all grades and grade ≥IIIa occurred in 54 (73%) and 15 (20%) patients, respectively. The postoperative rehospitalization rate was 20%, and the perioperative mortality rate was 0%. Elderly (n = 20) showed no difference in the incidence of perioperative complication of all grades or grade ≥IIIa compared with non-elderly, and no organ system-based category had a higher incidence in elderly than that in non-elderly. Gastrointestinal tract-related perioperative complication incidence was higher in non-elderly and those with Charlson comorbidity index ≥3 (P = .044, .039, respectively); cardi ovasc ular- relat ed perioperative complication incidence was higher in those with Charlson comorbidity index ≥ 3 (P = .0068).

Conclusion: The incidence perioperative complication of robot-assisted radical cystectomy in elderly was not different from those in non-elderly, suggesting that robot-assisted radical cystectomy may be an option for the treatment of bladder cancer in elderly as well as non-elderly.

Abstract Image

老年人机器人辅助腹腔镜根治性膀胱切除术的有效性和安全性:年龄≥80岁患者围手术期结局的结果
目的:为了提高围手术期的预后,机器人辅助根治性膀胱切除术越来越受到人们的关注。本研究旨在评估≥80岁老年人机器人辅助根治性膀胱切除术围手术期并发症的详细情况,并与非老年人进行比较。材料和方法:回顾性分析2018年9月至2021年9月期间74例接受机器人辅助膀胱癌根治性膀胱切除术的患者的临床特征。围手术期并发症分为Clavien-Dindo分类和器官系统分类。我们评估了年龄或Charlson合并症指数评分(≥3)之间的关系。结果:74例患者中,54例(73%)和15例(20%)患者分别出现了所有级别和≥IIIa级的围手术期并发症。术后再住院率为20%,围手术期死亡率为0%。老年患者(n = 20)围手术期并发症各分级及≥IIIa级的发生率与非老年患者比较无差异,且无器官系统分类中老年患者的发生率高于非老年患者。非老年人及Charlson合并症指数≥3者围手术期胃肠道相关并发症发生率较高(P分别为0.044、0.039);Charlson合并症指数≥3者围手术期心血管相关并发症发生率较高(P = 0.0068)。结论:老年人机器人辅助膀胱癌根治术围手术期并发症发生率与非老年人无明显差异,提示机器人辅助膀胱癌根治术可能是老年人和非老年人治疗膀胱癌的一种选择。
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来源期刊
Turkish journal of urology
Turkish journal of urology Medicine-Urology
CiteScore
2.10
自引率
0.00%
发文量
53
期刊介绍: The aim of the Turkish Journal of Urology is to contribute to the literature by publishing scientifically high-quality research articles as well as reviews, editorials, letters to the editor and case reports. The journal’s target audience includes, urology specialists, medical specialty fellows and other specialists and practitioners who are interested in the field of urology.
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