학술논문
Utility and safety of robot-assisted radical cystectomy in older patients with bladder cancer.
Document Type
Academic Journal
Author
Kumada N; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Nakane K; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Yamada T; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Tomioka-Inagawa R; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Sugino F; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Namiki S; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Kawase M; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Kawase K; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Takeuchi S; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Nakai C; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Kato D; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Takai M; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Iinuma K; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.; Tobisawa Y; Department of Urology, Hirosaki Graduate School of Medicine, Hirosaki, Japan.; Koie T; Department of Urology, Gifu Graduate School of Medicine, Gifu, Japan.
Source
Publisher: Informa Healthcare Country of Publication: England NLM ID: 9612996 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2931 (Electronic) Linking ISSN: 13645706 NLM ISO Abbreviation: Minim Invasive Ther Allied Technol Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: This study aimed to investigate the efficacy and safety of robot-assisted radical cystectomy (RARC) in older patients with bladder cancer (BCa). Material and methods: We reviewed the clinical and pathological records of 110 patients with BCa who underwent RARC at Gifu University Hospital between February 2019 and January 2023. Older patients were defined as those with BCa aged ≥ 75 years. The enrolled patients were divided into two groups: those aged < 75 years (Group I) and those aged ≥ 75 years (Group II). Oncological outcomes, including overall survival (OS) and recurrence-free survival (RFS), were the primary endpoints of the study; the secondary endpoints were the surgical and pathological outcomes. Results: A shorter console time, less blood loss, and reduced time to postoperative fluid and food intake in Group II may be attributed to the fact that more patients opted for ureterocutaneostomy in Group II than in Group I. In all patients, the three-year OS and RFS rates were 84.7% and 88.5%, respectively. There were no significant differences in OS or RFS between the two groups. ( p = .403, p = .963, respectively). Conclusions: RARC appears to be a safe and useful treatment option for older patients with BCa.