Open radical cystectomy is a reliable surgery with acceptable complication rates in elderly male patients: a retrospective, tertiary hospital-based study

Karabay E., Topaktaş R., Tosun Ç., Karşıyakalı N., Kayar K., Öztürk M. İ.

Aging Male, cilt.23, sa.3, ss.210-215, 2020 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1080/13685538.2019.1678127
  • Dergi Adı: Aging Male
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Abstracts in Social Gerontology, AgeLine, CINAHL, EMBASE, MEDLINE, SportDiscus
  • Sayfa Sayıları: ss.210-215
  • Anahtar Kelimeler: Aging male, bladder cancer, Clavien–Dindo classification, elderly, open radical cystectomy, postoperative complication
  • Bilecik Şeyh Edebali Üniversitesi Adresli: Hayır

Özet

Objective: This study aims to evaluate safety of radical cystectomy (RS)+pelvic lymph node dissection (PLND)+ileal conduit urinary diversion (ICUD) in male patients aged >65 years versus ≤65 years. Materials and Methods: Eighty-five male patients who underwent RS + PLND + ICUD for bladder cancer were retrospectively analyzed. The patients were divided into two groups according to age: ≤65 years (Group 1, n = 40) versus >65 years (Group 2, n = 45). Data including baseline demographic and clinical characteristics of the patients, length of hospital stay, and complications within 90 days of surgery, and Grade ≤ II and Grade ≥ III complications according to the Clavien-Dindo (C-D) classification were recorded. Groups were compared in terms of demographic features and development of complications within 90 day after surgery statistically. Results: The median length of hospital stay was statistically significantly longer in Group 2 than Group 1 [10 (7–17) days vs. 9 (6–14) days, respectively; p <.05]. There was no statistically significant difference in the rehospitalization rate within 90 days of surgery between the groups (p >.05). Conclusion: Our study results suggest that RS + PLND + ICUD is a safe procedure in male patients aged ≥65 years.