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Actas Urol Esp. 2008 Jul-Aug;32(7):696-704.

[Radical cystectomy as a muscle-invasive bladder cancer treatment in elderly patients].

[Article in Spanish]

Author information

1
Servicio de Urología del Hospital Clínico Universitario de Valencia, Valencia. joseantoniomarch@hotmail.com

Abstract

INTRODUCTION:

Radical cystectomy in elderly is a controversial issue that increases importance overtime because average life span is growing.

OBJECTIVE:

The purpose of our work was to analize the differences about perioperative and later outcomes between ages of patients with muscle-invasive bladder neoplasm treated with radical cystectomy.

MATERIAL AND METHODS:

We retrospectively reviewed the records of patients who underwent radical cystectomy for muscle-invasive bladder cancer. Two age groups were compared: < 70-years-old at time of cystectomy (n = 55) and > or = 70 years (n = 57).

RESULTS:

There was no difference between both age groups about: time of surgery, intraoperative complications (< 70 = 21,8%, > or = 70 = 31,6%), postoperative mortality (< 70 = 3,6%, > or = 70 = 8,8%), minor (< 70 = 18,2%, > or = 70 = 26,3%) and major medical postoperative complications (< 70 = 7,3%, > or = 70 = 8,8%), late outcomes as cancer-specific morby-mortality and actuarial overall survival stratified by patient age. The rate of major postoperative complications (< 70 = 23,6%, > or = 70 = 43,9%) as well as the mean length of hospital stay (< 70 = 10,2, > or = 70 = 15,2 days) differed significantly between the two age groups. Age and cardiovascular risk factors were independient predictive factors of mayor postoperative complications.

CONCLUSIONS:

Radical cystectomy could be performed in carefully selected elderly patients.

PMID:
18788485
[Indexed for MEDLINE]
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