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首页> 外文期刊>The Canadian journal of urology >Morbidity and mortality of octogenarians following open radical cystectomy using a standardized reporting system.
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Morbidity and mortality of octogenarians following open radical cystectomy using a standardized reporting system.

机译：使用标准化报告系统进行的开放性膀胱癌切除术后，八十岁以下儿童的发病率和死亡率。

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Recent evidence suggests that radical cystectomy may be underutilized in elderly patients, despite literature supporting acceptable morbidity/mortality in this population. However, there is a paucity of literature reporting complications in a standardized manner. Therefore, we evaluated the morbidity and mortality of octogenarians treated with radical cystectomy using the modified Clavien complication reporting system.We retrospectively reviewed 443 consecutive patients undergoing radical cystectomy at our institution between January 2000 and April 2010. Patients who underwent cystectomy for benign conditions were excluded, leaving 359 for analysis. Baseline demographic and perioperative data were reviewed and all complications were graded. We compared the outcomes of our octogenarian population (n = 43) against our younger population (n = 316).There was no difference between octogenarians and the younger cohort for overall complication rates (86% versus 83%, p = 0.91), or major (33% versus 30%, p = 0.93) or minor (81% versus 80%, p = 0.91) complications. The younger group was more likely to encounter a late complication (41.5% versus 23.3%, p = 0.03). Those 80 years and older trended toward more intraoperative complications (21% versus 10%, p = 0.07). The older group also had a greater propensity for neurological complications (26% versus 11%, p = 0.02), but there was no difference in CVA (2% versus 3%, p = 0.22). There was no difference in mortality rates between the older and younger cohort (2.3% versus 0.9%, p = 0.95).Radical cystectomy is a morbid procedure regardless of patient age. Age alone should not preclude radical cystectomy in the elderly.
机译：最近的证据表明，尽管有文献支持该人群的可接受的发病率/死亡率，但老年患者可能无法进行根治性膀胱切除术。但是，很少有文献以标准化的方式报道并发症。因此，我们使用改良的Clavien并发症报告系统评估了行根治性膀胱切除术的八十岁以下儿童的发病率和死亡率。我们回顾性回顾了我们机构在2000年1月至2010年4月间接受过443例行根治性膀胱切除术的患者。 ，剩下359进行分析。回顾了基线人口统计学和围手术期数据，并对所有并发症进行了分级。我们比较了八十岁以下人群（n = 43）和年轻人口（n = 316）的结局。总并发症发生率与八十岁以下人群和年轻队列之间没有差异（86％比83％，p = 0.91），或者严重（33％对30％，p = 0.93）或轻微（81％对80％，p = 0.91）并发症。年轻的组更容易发生晚期并发症（41.5％对23.3％，p = 0.03）。那些80岁及以上的患者倾向于更多的术中并发症（21％对10％，p = 0.07）。老年组的神经系统并发症倾向也更大（26％比11％，p = 0.02），但CVA无差异（2％比3％，p = 0.22）。年龄较大和年龄较小的人群的死亡率无差异（2.3％比0.9％，p = 0.95）。无论患者年龄如何，根治性膀胱切除术都是病态手术。仅年龄不应该排除老年人的根治性膀胱切除术。

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