Outcomes of Laparoscopic and Robotic Radical Cystectomy in the Elderly Patients
Objective To compare the perioperative outcomes of laparoscopic/robotic radical cystectomy (LRRC) for urothelial cancer of bladder (UCB) between elderly (≥70 years) and younger (
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2012-03, Vol.79 (3), p.585-590 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Guillotreau, Julien Miocinovic, Ranko Gamé, Xavier Forest, Sylvain Malavaud, Bernard Kaouk, Jihad Rischmann, Pascal Haber, Georges-Pascal |
| description | Objective To compare the perioperative outcomes of laparoscopic/robotic radical cystectomy (LRRC) for urothelial cancer of bladder (UCB) between elderly (≥70 years) and younger ( |
| doi_str_mv | 10.1016/j.urology.2011.11.042 |
| format | Article |
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Materials and Methods A retrospective review of 146 patients who underwent LRRC between 2003 and 2010 at 2 academic institutions (Cleveland, Ohio, United States and Toulouse, France) was performed. Of these, 74 patients were classified as elderly (≥70 years) and 72 patients were considered younger (<70 years). Perioperative outcomes, final pathology results, overall survival (OS), and cancer specific survival (CSS) were compared between the 2 groups. Results Both groups had similar clinical stage at diagnosis, American Society of Anesthesiologists score, body mass index, and gender distribution. Ileal conduit-type diversion was favored in the older vs younger group, 84% vs 36%, respectively. Overall conversion rate to open procedures was 4% in both groups. Perioperative complication rate was not significantly different between the younger and older patients. Positive margin rate was 5% in both groups. The 5-year OS for older and younger patients was 75% and 87%, respectively ( P = .03), and the 5-year CSS for the 2 groups was 51% and 54%, respectively ( P = .7). Conclusion Laparoscopic/robotic radical cystectomy in the elderly does not have worse perioperative complications or pathologic outcomes compared with younger patients and therefore can be offered as treatment option in select older patients.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2011.11.042</identifier><identifier>PMID: 22386404</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Cystectomy - methods ; Humans ; Laparoscopy ; Length of Stay ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Retrospective Studies ; Robotics ; Treatment Outcome ; Urinary Bladder Neoplasms - surgery ; Urinary Diversion ; Urology ; Urothelium - pathology</subject><ispartof>Urology (Ridgewood, N.J.), 2012-03, Vol.79 (3), p.585-590</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-d2d7549f83efd607dd5105113c26f0f6c31c064bf48aea216ec113d0eca4ec803</citedby><cites>FETCH-LOGICAL-c515t-d2d7549f83efd607dd5105113c26f0f6c31c064bf48aea216ec113d0eca4ec803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429511027130$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25600125$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22386404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guillotreau, Julien</creatorcontrib><creatorcontrib>Miocinovic, Ranko</creatorcontrib><creatorcontrib>Gamé, Xavier</creatorcontrib><creatorcontrib>Forest, Sylvain</creatorcontrib><creatorcontrib>Malavaud, Bernard</creatorcontrib><creatorcontrib>Kaouk, Jihad</creatorcontrib><creatorcontrib>Rischmann, Pascal</creatorcontrib><creatorcontrib>Haber, Georges-Pascal</creatorcontrib><title>Outcomes of Laparoscopic and Robotic Radical Cystectomy in the Elderly Patients</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objective To compare the perioperative outcomes of laparoscopic/robotic radical cystectomy (LRRC) for urothelial cancer of bladder (UCB) between elderly (≥70 years) and younger (<70 years) patients. Materials and Methods A retrospective review of 146 patients who underwent LRRC between 2003 and 2010 at 2 academic institutions (Cleveland, Ohio, United States and Toulouse, France) was performed. Of these, 74 patients were classified as elderly (≥70 years) and 72 patients were considered younger (<70 years). Perioperative outcomes, final pathology results, overall survival (OS), and cancer specific survival (CSS) were compared between the 2 groups. Results Both groups had similar clinical stage at diagnosis, American Society of Anesthesiologists score, body mass index, and gender distribution. Ileal conduit-type diversion was favored in the older vs younger group, 84% vs 36%, respectively. Overall conversion rate to open procedures was 4% in both groups. Perioperative complication rate was not significantly different between the younger and older patients. Positive margin rate was 5% in both groups. The 5-year OS for older and younger patients was 75% and 87%, respectively ( P = .03), and the 5-year CSS for the 2 groups was 51% and 54%, respectively ( P = .7). Conclusion Laparoscopic/robotic radical cystectomy in the elderly does not have worse perioperative complications or pathologic outcomes compared with younger patients and therefore can be offered as treatment option in select older patients.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cystectomy - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Retrospective Studies</subject><subject>Robotics</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder Neoplasms - surgery</subject><subject>Urinary Diversion</subject><subject>Urology</subject><subject>Urothelium - pathology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVGrFCEUxyWK7t5bH6HwJXqa7eios_NSxHJvBQsbt3oWV8-U28y4qRPMt89ht4JeggMK_s5Rf39CnjFYM2Dq1XE9xdCHr_OaA2PrUiD4A7JikjdV27byIVkBtFAJ3sorcp3SEQCUUs1jcsV5vVECxIrs91O2YcBEQ0d35mRiSDacvKVmdPQ-HEIu-3vjvDU93c4po81hmKkfaf6G9LZ3GPuZfjTZ45jTE_KoM33Cp5f1hny5u_28fV_t9u8-bN_uKiuZzJXjrpGi7TY1dk5B45xkIBmrLVcddMrWzIISh05sDBrOFNpy6ACtEWg3UN-Ql-e5pxh-TJiyHnyy2PdmxDAl3XIlixAuCinPpC1fSxE7fYp-MHHWDPSiUh_1RaVeVOpSpbP0Pb_cMB0GdH-6frsrwIsLYFKR00UzWp_-clIBMC4L9-bMYfHx02PUyRZXFp2PRaZ2wf_3Ka__mWB7Py6JfMcZ0zFMcSyyNdOJa9CfltyX2BkD3rAa6l8ZsamY</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Guillotreau, Julien</creator><creator>Miocinovic, Ranko</creator><creator>Gamé, Xavier</creator><creator>Forest, Sylvain</creator><creator>Malavaud, Bernard</creator><creator>Kaouk, Jihad</creator><creator>Rischmann, Pascal</creator><creator>Haber, Georges-Pascal</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120301</creationdate><title>Outcomes of Laparoscopic and Robotic Radical Cystectomy in the Elderly Patients</title><author>Guillotreau, Julien ; Miocinovic, Ranko ; Gamé, Xavier ; Forest, Sylvain ; Malavaud, Bernard ; Kaouk, Jihad ; Rischmann, Pascal ; Haber, Georges-Pascal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-d2d7549f83efd607dd5105113c26f0f6c31c064bf48aea216ec113d0eca4ec803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cystectomy - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Retrospective Studies</topic><topic>Robotics</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder Neoplasms - surgery</topic><topic>Urinary Diversion</topic><topic>Urology</topic><topic>Urothelium - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guillotreau, Julien</creatorcontrib><creatorcontrib>Miocinovic, Ranko</creatorcontrib><creatorcontrib>Gamé, Xavier</creatorcontrib><creatorcontrib>Forest, Sylvain</creatorcontrib><creatorcontrib>Malavaud, Bernard</creatorcontrib><creatorcontrib>Kaouk, Jihad</creatorcontrib><creatorcontrib>Rischmann, Pascal</creatorcontrib><creatorcontrib>Haber, Georges-Pascal</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guillotreau, Julien</au><au>Miocinovic, Ranko</au><au>Gamé, Xavier</au><au>Forest, Sylvain</au><au>Malavaud, Bernard</au><au>Kaouk, Jihad</au><au>Rischmann, Pascal</au><au>Haber, Georges-Pascal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Laparoscopic and Robotic Radical Cystectomy in the Elderly Patients</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>79</volume><issue>3</issue><spage>585</spage><epage>590</epage><pages>585-590</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objective To compare the perioperative outcomes of laparoscopic/robotic radical cystectomy (LRRC) for urothelial cancer of bladder (UCB) between elderly (≥70 years) and younger (<70 years) patients. Materials and Methods A retrospective review of 146 patients who underwent LRRC between 2003 and 2010 at 2 academic institutions (Cleveland, Ohio, United States and Toulouse, France) was performed. Of these, 74 patients were classified as elderly (≥70 years) and 72 patients were considered younger (<70 years). Perioperative outcomes, final pathology results, overall survival (OS), and cancer specific survival (CSS) were compared between the 2 groups. Results Both groups had similar clinical stage at diagnosis, American Society of Anesthesiologists score, body mass index, and gender distribution. Ileal conduit-type diversion was favored in the older vs younger group, 84% vs 36%, respectively. Overall conversion rate to open procedures was 4% in both groups. Perioperative complication rate was not significantly different between the younger and older patients. Positive margin rate was 5% in both groups. The 5-year OS for older and younger patients was 75% and 87%, respectively ( P = .03), and the 5-year CSS for the 2 groups was 51% and 54%, respectively ( P = .7). Conclusion Laparoscopic/robotic radical cystectomy in the elderly does not have worse perioperative complications or pathologic outcomes compared with younger patients and therefore can be offered as treatment option in select older patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22386404</pmid><doi>10.1016/j.urology.2011.11.042</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Cystectomy - methods Humans Laparoscopy Length of Stay Medical sciences Middle Aged Nephrology. Urinary tract diseases Retrospective Studies Robotics Treatment Outcome Urinary Bladder Neoplasms - surgery Urinary Diversion Urology Urothelium - pathology |
| title | Outcomes of Laparoscopic and Robotic Radical Cystectomy in the Elderly Patients |
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