title: [Laparoscopic Radical Cystectomy in the Elderly Patients].
abstract: We compared the perioperative and oncological outcomes of laparoscopic radical cystectomy (LRC) between elderly patients over 75 years old and younger patients. Fifty-three patients underwent LRC between 2003 and 2014 at Tenriyorozu Hospital. Eighteen patients were classified as elderly (over 75) and the other 35 patients were considered young. The median operating time (434 vs 465 min, p＝0.35), estimated bloodloss (534 vs 525 g, p＝0.74), time to recommencing foodintake (7 vs 6 days, p＝1.00), and hospital stay (35 vs 32 days, p＝0.81) were not significantly different between the groups. Perioperative pyelonephritis was significantly more frequent in the elderly group (50% vs 20%, p＝0.02), while other complications were not significantly different between the two groups. The perioperative mortality rate was 0% in both groups. There were no significant differences between the elderly and young groups with respect to 2-year overall survival (74. 4% vs 91. 6%), cancer-specific survival (74. 4% vs 91. 6%), and recurrence-free survival (70.2% vs 81. 8%). LRC is a safe andefficient procedure for selected elderly patients.
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Ito
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Uemura
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kamido
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Keiji
authors.initials: K
authors.lastname: Kato
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Uetsuki
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kawanishi
authors.affiliation: The Department of Urology, Tenriyorozu Hospital.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Okumura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D015653:Cystectomy / Q000379:methods* / Q000401:mortality; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D059035:Perioperative Period; D011183:Postoperative Complications; D016896:Treatment Outcome