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ID 57371
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フルテキストURL
Thumnail 73_5_413.pdf 2.03 MB
著者
Yanagihara, Yutaka Department of Urology, Ehime University Medical School
Nishida, Keigo Department of Urology, Ehime University Medical School
Watanabe, Ryuta Department of Urology, Ehime University Medical School
Koyama, Kanae Department of Urology, Ehime University Medical School
Sawada, Yuichiro Department of Urology, Ehime University Medical School
Noda, Terutaka
Asai, Seiji Department of Urology, Ehime University Medical School
Fukumoto, Tetsuya Department of Urology, Ehime University Medical School
Miura, Noriyoshi Department of Urology, Ehime University Medical School
Miyauchi, Yuki Department of Urology, Ehime University Medical School
Kikugawa, Tadahiko Department of Urology, Ehime University Medical School
Saika, Takashi Department of Urology, Ehime University Medical School
抄録
Laparoscopic radical cystectomy (LRC) is a standard surgical treatment for muscle-invasive bladder cancer and high-risk non-muscle-invasive bladder cancer. LRC is a less invasive modality than conventional open surgery. Therefore, even elderly patients with invasive bladder cancer may be candidates for LRC. In this study, a comparative analysis of perioperative/oncological outcomes between elderly patients and younger patients who underwent LRC was performed to assess the feasibility of LRC in elderly patients. Sixty-eight consecutive patients who underwent LRC between October 2013 and March 2018 were enrolled and stratified into those younger than 75 years (n=37) and those ≥ 75 years old (n=31). The median follow-up period was 28.2 months. The preoperative and operative parameters and complications were similar in both groups. The 2-year overall survival (OS) was 64.4% in the younger vs. 76.4% in the elderly group (p=0.053), cancer-specific survival (CSS) was 79.3% vs. 81.7% (p=0.187), and recurrence-free survival (RFS) was 58.2% vs. 75.7% (p=0.174), respectively. No significant differences were observed in OS, CSS, or RFS between the groups. No significant differences were found between the groups with respect to peri-surgical/oncological outcomes. We conclude that LRC is feasible in elderly patients.
キーワード
bladder cancer
laparoscopic surgery
radical cystectomy
elderly patient
Amo Type
Original Article
発行日
2019-10
出版物タイトル
Acta Medica Okayama
73巻
5号
出版者
Okayama University Medical School
開始ページ
417
終了ページ
418
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2019 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT