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Updated: May 19, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

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Published on: May 19, 2022

Radical cystectomy in octogenarians.

Sudhir Rawal¹, Samir Khanna, Rakesh Kaul

¹Department of Genito-Uro Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India.

Indian Journal of Urology : IJU : Journal of the Urological Society of India

|August 25, 2012

Summary

This summary is machine-generated.

Radical cystectomy and urinary diversion can be safely performed in octogenarians with invasive bladder cancer. This surgery offers acceptable morbidity and mortality, providing a chance for disease-free survival in elderly patients.

Keywords:

Complications elderly ileal conduit invasive bladder cancer mortality radical cystectomy

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Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction

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Published on: January 3, 2020

Area of Science:

Urology
Oncology
Geriatric Medicine

Background:

Invasive bladder cancer poses significant treatment challenges for octogenarians.
Radical cystectomy with urinary diversion is a standard treatment, but its safety in the elderly is debated.

Purpose of the Study:

To evaluate the morbidity and outcomes of radical cystectomy and urinary diversion in patients over 80 years old with invasive bladder cancer.

Main Methods:

Retrospective analysis of 11 patients aged over 80 who underwent cystectomy for invasive bladder cancer over a 10-year period.
Data collected included intraoperative and postoperative complications, mortality, and long-term follow-up.

Main Results:

The median age was 82 years; most patients had comorbidities. Ileal conduit urinary diversion was universally used. Median surgical time was 5 hours, and median hospital stay was 10 days.
Postoperative complications included pneumonitis (4 patients) and hemiplegia (1 patient). One patient died within a month post-discharge due to stent septicemia. Long-term survival was observed in 6 out of 10 evaluated patients.

Conclusions:

Radical cystectomy with urinary diversion in octogenarians with invasive bladder cancer is associated with acceptable morbidity and mortality.
This surgical approach offers the best opportunity for sustained, disease-free survival and improved quality of life in this elderly population.