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Cystectomy in the elderly.

机译:老年人膀胱切除术。

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摘要

Invasive bladder cancer is a disease of the elderly. With the elderly population rapidly growing and living longer than ever before, a larger number of patients 75 years of age or older will develop invasive bladder cancer. Currently available data indicate that well-selected elderly patients, even those 80 years old or older, do not have a significantly higher risk of morbidity or mortality from cystectomy than do younger patients. Cystectomy in patients of advanced age requires a multidisciplinary team approach and increased vigilance in the perioperative period but can be performed safely. Most elderly patients diagnosed with invasive bladder cancer, if left untreated by cystectomy, will die of the disease and not from competing age-related illness. Therefore, radical cystectomy should not be withheld from elderly patients on the basis of age alone.
机译:浸润性膀胱癌是老年人的疾病。随着老年人口的迅速增长和比以往更长的寿命,越来越多的75岁以上的患者会发展为浸润性膀胱癌。目前可获得的数据表明,经过精心挑选的老年患者,即使是80岁或80岁以上的患者,与年轻患者相比,膀胱切除术的发病或死亡风险也没有显着更高。高龄患者行膀胱切除术需要多学科团队合作,并在围手术期提高警惕,但可以安全地进行。如果不经膀胱切除术治疗,大多数诊断为浸润性膀胱癌的老年患者将死于该疾病,而不是与年龄相关的竞争性疾病。因此,老年患者不应仅凭年龄就行根治性膀胱切除术。

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