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首页> 外文期刊>BJU international >Robot-assisted radical prostatectomy in men aged > or =70 years.
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Robot-assisted radical prostatectomy in men aged > or =70 years.

机译：机器人辅助的前列腺癌根治术>≥70岁。

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OBJECTIVES: To assess the outcomes of elderly men with prostate cancer treated with robot-assisted radical prostatectomy (RARP), because more healthy elderly men will present with localized prostate cancer and many will seek surgical treatment as the population ages. PATIENTS AND METHODS: Between 2005 and 2008, 203 men had RARP performed by one surgeon; patients were categorized into two groups based on their age (> or =70 vs <70 years). All data were recorded prospectively in an institutional approved database. RESULTS: Of the 203 men, 23 (11%) were aged > or =70 years; the older men had similar baseline characteristics as younger men, and had characteristics during and after surgery comparable to those in younger men. The pathological RARP Gleason grade was significantly greater in older men. Surgical complications were not significantly different between the groups. Continence rates were significantly lower in older men at 6 months after surgery, but returned to levels equivalent to those in younger men within 12 months after surgery. Older patients took significantly longer to be capable of driving after surgery. CONCLUSIONS: The outcomes of RARP in elderly men are largely comparable to those in younger men, with the exception of higher pathological Gleason grade, a transient delay in return of continence, and taking longer to return to driving after surgery. Advanced chronological age should not be a contraindication for RARP in patients with clinically localized prostate cancer, but expectations should be managed preoperatively.
机译：目的：评估接受机器人辅助根治性前列腺切除术（RARP）治疗的前列腺癌老年男性的预后，因为随着年龄的增长，越来越多的健康老年男性会出现局限性前列腺癌，并且许多人将寻求手术治疗。患者与方法：2005年至2008年，有203名男性由一名外科医生进行了RARP;根据年龄（>或= 70 vs <70岁）将患者分为两组。所有数据均前瞻性地记录在机构认可的数据库中。结果：203例男性中，有23例（11％）年龄≥70岁;老年人的基线特征与年轻人相似，并且在手术期间和术后的特征与年轻人相似。老年男性的病理RARP Gleason评分明显更高。两组之间的手术并发症无明显差异。术后6个月，老年男性的节制率显着降低，但在术后12个月内恢复至与年轻男性相同的水平。老年患者手术后需要更长的时间才能开车。结论：老年男性的RARP结果与年轻男性大致相当，但病理Gleason评分较高，暂时性尿失禁延迟以及术后恢复驾驶时间更长。在临床上局限性前列腺癌的患者中，按年龄高龄不应作为RARP的禁忌证，但应在术前进行处理。

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