title: Robotic salvage cystectomy in the nonagenarian.
abstract: Radical cystectomy with pelvic lymphadenectomy remains the standard treatment for muscle-invasive bladder cancer. However, bladder preservation with radiotherapy, with or without chemotherapy, represents an alternative treatment strategy. In patients that fail this bladder conservation treatment, salvage cystectomy is then indicated to treat persistent or recurrent cancer. We report our experience with robotic-assisted laparoscopic salvage radical cystoprostatectomy with pelvic lymph node dissection in a 91-year-old man. This minimally invasive approach for treatment of persistent bladder cancer refractory to chemoradiation, even in the nonagenarian, is a safe and viable alternative to traditional open surgery.
authors.affiliation: Department of Urology, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA. jaeandi@gmail.com.
authors.forename: Jonathan Andrew
authors.initials: JA
authors.lastname: Eandi
authors.affiliation: Department of Urology, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Chan
authors.affiliation: Department of Urology, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
authors.forename: Timothy G
authors.initials: TG
authors.lastname: Wilson
authors.affiliation: Department of Urology, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
authors.forename: David Y
authors.initials: DY
authors.lastname: Josephson
authors.affiliation: Department of Urology, City of Hope, 1500 East Duarte Road, Duarte, CA, 91010, USA.
authors.forename: Clayton
authors.initials: C
authors.lastname: Lau
keywords: Bladder; Bladder cancer; Cystectomy; Robotics; Salvage therapy