[Early postoperative complications of radical cystectomy and urinary diversion in elderly patients].
Clinical and operative features and early postoperative complications were reviewed in 26 patients 75 years old and older who were treated with radical cystectomy including pelvic lymphadenectomy and urinary diversion in our hospital from 1994 to 2005. These findings were compared with those in 170 patients younger than 75 years old who received the same surgery and in 26 patients 75 years old and older who were not surgically treated. Early postoperative complications were found in 9 elderly patients (34%), but there were no deaths in the preoperative and early postoperative periods. There was no significant difference in the rate of early postoperative complications between patients 75 years old and older and those younger than 75. Preoperative performance status (PS) and the American Society of Anesthesiologists Score (ASA score) were significantly better in elderly patients with the surgery than those without surgery. Therefore, evaluation with PS and the ASA score may allow urologists to appropriately select elderly candidates for radical cystectomy and urinary diversion. Chronological age alone is not a determinant for indicating the surgery.
Ichihara
Koji
K
Department of Urology, Sapporo Medical University School of Medicine.
Takahashi
Atsushi
A
Hirobe
Megumi
M
Honma
Ichiya
I
Fukuta
Fumimasa
F
Masumori
Naoya
N
Tsukamoto
Taiji
T
D000368:Aged; D015653:Cystectomy / Q000009:adverse effects*; D006801:Humans; D008197:Lymph Node Excision / Q000706:statistics & numerical data; D011183:Postoperative Complications; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects* / Q000706:statistics & numerical data*