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[Laparoscopic Radical Cystectomy in the Elderly Patients]
Katsuhiro Ito1, Toshihiro Uemura1, Satoshi Kamido1
1The Department of Urology, Tenriyorozu Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|January 22, 2016
Summary
Laparoscopic radical cystectomy (LRC) is safe for elderly patients over 75. Outcomes and survival rates were comparable to younger patients, with only a slight increase in pyelonephritis risk.
Area of Science:
- Urology
- Surgical Oncology
- Geriatric Surgery
Background:
- Radical cystectomy is a standard treatment for bladder cancer.
- Laparoscopic radical cystectomy (LRC) offers potential benefits over open surgery.
- Data on LRC outcomes in elderly patients remains limited.
Purpose of the Study:
- To compare perioperative and oncological outcomes of LRC in elderly patients (over 75) versus younger patients.
- To evaluate the safety and efficacy of LRC in an elderly population.
Main Methods:
- Retrospective analysis of 53 patients undergoing LRC between 2003 and 2014.
- Patients were divided into elderly (n=18) and young (n=35) groups.
- Comparison of operating time, blood loss, complications, survival rates, and recurrence-free survival.
Main Results:
- No significant differences in operating time, blood loss, or hospital stay between groups.
- Elderly patients had a higher incidence of perioperative pyelonephritis (50% vs 20%, p=0.02).
- No significant differences in overall survival, cancer-specific survival, or recurrence-free survival at 2 years; 0% perioperative mortality in both groups.
Conclusions:
- Laparoscopic radical cystectomy is a safe and effective procedure for selected elderly patients.
- Elderly patients may experience a higher risk of pyelonephritis after LRC.
- Careful patient selection is crucial for successful LRC in the elderly population.