Abstract：
OBJECTIVE:To evaluate perioperative morbidity and mortality rate, a 3-year recurrence-free survival, and cancer-specific mortality rate in patients older than 80 years undergoing robot-assisted radical cystectomy (RARC). MATERIALS AND METHODS:We retrospectively collected data of 155 consecutive patients who received RARC for muscle-invasive or high-risk nonmuscle-invasive urothelial carcinoma of the bladder between 2003 and 2014 at a high-volume robotic center. Diversion was performed intra- or extracorporeally according to the surgeon's preferences. Complications were graded according to the Clavien-Dindo system. Logistic regression analyses were used to assess the impact of age on postoperative outcomes. RESULTS:Of 155 consecutive patients, 22 (14.2%) patients were 80 years or older. Octogenarians did not significantly differ from younger patients in ASA score (p = 0.4) and Charlson comorbidity index (p = 0.4). Prevalence of any grade and high-grade complications was similar in both groups (all p ≥ 0.6). Older patients had a significantly higher pathologic tumor grade (p = 0.04) and a lower use of pelvic lymphadenectomy (p < 0.001). No perioperative mortality rate was recorded within 90 days from surgery. Elderly patients had a similar risk of 3-year oncologic recurrence after surgery compared with their younger counterparts (odds ratio [OR] 1.63; p = 0.2). Conversely, the risk of cancer-specific mortality rate was significantly higher (OR 2.78; p = 0.02). CONCLUSIONS:Patients 80 years or older undergoing RARC for bladder cancer did not have a higher risk of peri- and postoperative morbidity and mortality rate and had a similar 3-year recurrence-free survival, suggesting that RARC can be safely performed in selected elderly patients by experienced surgeons.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
De Groote R,Gandaglia G,Geurts N,Goossens M,Pauwels E,D'Hondt F,Gratzke C,Fossati N,De Naeyer G,Schatteman P,Carpentier P,Novara G,Mottrie Adoi
10.1089/end.2016.0050subject
Has Abstractpub_date
2016-07-01 00:00:00pages
792-8issue
7eissn
0892-7790issn
1557-900Xjournal_volume
30pub_type
杂志文章abstract：:Since the advantages of using ureteral stents in conjunction with extracorporeal shock wave lithotripsy were first recognized, the growing demand for outpatient stone treatment has made stent use much more frequent. However, prophylactic stent placement must be judicious to maximize success and minimize associated mor...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.1993.7.155
更新日期：1993-04-01 00:00:00
abstract：INTRODUCTION:Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, while also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the beli...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2018.0319
更新日期：2018-08-01 00:00:00
abstract：PURPOSE:To assess the necessity of placing a ureteral stent after transperitoneal laparoscopic ureterolithotomy (TPLU). PATIENTS AND METHODS:In the period from May 2006 to November 2010, 46 patients underwent TPLU. There were 13 females and 33 males. All patients had an impacted stone larger than 1.5 cm in the upper a...
journal_title：Journal of endourology
pub_type： 临床试验,杂志文章
doi：10.1089/end.2012.0082
更新日期：2012-09-01 00:00:00
abstract：:We report an unusual ureteral foreign body resulting from a complication of pulsed-dye laser lithotripsy: a retained laser fiber fragment. It was removed with two endoscopic procedures without long-term problems. ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.1994.8.29
更新日期：1994-02-01 00:00:00
abstract：PURPOSE:To evaluate contemporary management approaches to medium-sized (10-20 mm) renal stones. PATIENTS AND METHODS:A total of 935 patients treated for medium-sized renal stones (10-20 mm) between July 2012 and March 2014 were included in the study program. Contemporary minimally invasive approaches applied in the ma...
journal_title：Journal of endourology
pub_type： 杂志文章,多中心研究
doi：10.1089/end.2014.0698
更新日期：2015-07-01 00:00:00
abstract：:In the last three decades, minimally invasive techniques have progressed significantly, replacing traditional open surgery as the mainstay of stone disease surgical treatment. The challenge for the next millennium remains medical prevention of calcium urolithiasis, a field where less dramatic progress has been achieve...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.1999.13.669
更新日期：1999-11-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Innovations in minimally invasive surgery have led to the proposal of incision-free natural orifice translumenal endoscopic surgery (NOTES). The purpose of this manuscript is to describe the initial technique of natural orifice translumenal endoscopic surgical radical prostatectomy (NOTES-RP). M...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2008.0670
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:Tubercular cold abscess of the seminal vesicle is very rare, and only a few cases are reported in literature. Preoperative diagnosis is difficult and to the best of our knowledge has not been reported. CASE REPORT:A 35-year-old man presented with a 7-year history of blood in the semen and a reddish brownish...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.436
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Vascular control is an important step in laparoscopic nephrectomy. The various options are titanium clips, Hem-o-lok clips (Weck Closure Systems, Research Triangle Park, NC), T-knot, and stapling devices. We report our experience with the use of Hem-o-lok clips. PATIENTS AND METHODS:From January...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.202
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2010.0525
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Ablation by cold (cryoablation) or radiofrequency energy (RFA), has been popularized for the treatment of small renal tumors. Regrettably, there currently is no reliable method of radiologically monitoring the propagation of RF lesions in real time. Ultrasonography enhanced by gas-filled microbub...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2005.19.579
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVES:To determine the accuracy of the surgeon's impression as to the stone-free rate at the end of percutaneous nephrolithotomy (PCNL), and to evaluate predictors for inaccurate estimation. MATERIALS AND METHODS:A prospective study conducted between 2010 and 2015. Surgeon's impression, categorized as "insignific...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2018.0005
更新日期：2018-06-01 00:00:00
abstract：PURPOSE:This study was to evaluate the effect of intraoperative continuous infusion of dexmedetomidine on intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) in the steep Trendelenburg (ST). MATERIALS AND METHODS:Sixty-eight patients were randomly divided into tw...
journal_title：Journal of endourology
pub_type： 杂志文章,随机对照试验
doi：10.1089/end.2014.0381
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.949
更新日期：2006-11-01 00:00:00
abstract：PURPOSE:To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. PATIENTS AND METHODS:From April 2001 to April 2005, 36 men and 34 women underwent LDP for symptomatic and radiologically proved ureteropelvic junction (UPJ) obstruction. A successful outcome was defined clin...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.1050
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:In laparoscopy, the term "mirror imaging" is used to describe a visual illusion resulting in paradoxical movements when a surgeon is positioned opposite the laparoscope. Mirror imaging is a common problem, creating difficulty in ergonomics and task performance. We introduce the use of a video ima...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/089277903322145521
更新日期：2003-06-01 00:00:00
abstract：:Renal excursion during breathing is inevitable and is a cause of poor localization during extracorporeal shock-wave lithotripsy (SWL), which in theory might lead to poor treatment results. Eighty-one patients underwent lithotripsy treatment with and without the use of an image enhancement system designed for use with ...
journal_title：Journal of endourology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1089/end.1996.10.335
更新日期：1996-08-01 00:00:00
abstract：PURPOSE:To assess the effectiveness of palladium-103 brachytherapy in stage T1 and T2 adenocarcinoma of the prostate. PATIENTS AND METHODS:The charts of 1048 patients treated between 1991 and 1999 with transperineal realtime ultrasound-guided (103)Pd (Theraseed) implants were reviewed to assess the effects on serum pr...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2000.14.343
更新日期：2000-05-01 00:00:00
abstract：:One of the most significant developments in imaging technology has been the process of digitalization. By incorporating currently available digital imaging equipment into surgical practice, urologists can be assured of obtaining real-time video images with optimal clarity and detail. In addition, one can efficiently c...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/08927790150500953
更新日期：2001-02-01 00:00:00
abstract：: Purpose: To examine the dusting performance of a novel solid state Thulium laser device compared to a standard holmium:yttrium-aluminum-garnet (Ho:YAG) device. Methods: This study compares a Dornier Medilas H Solvo 35 with an e...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2020.0525
更新日期：2020-09-09 00:00:00
abstract：:In current clinical practice, lidocaine gel is widely used as a local anesthetic lubricant before various forms of transurethral instrumentation. Over the past few years, the value of local anesthesia during urethral catheterization and flexible or rigid cystoscopy has been questioned. Strong data are lacking, and the...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.2008.0650
更新日期：2009-05-01 00:00:00
abstract：: Aims: To compare outcomes of monopolar vs bipolar transurethral resection of the prostate (TURP) in the management of exclusively moderate-large volume prostatic hyperplasia in terms of maximum flow rate as a surrogate for clinical efficacy, duration of catheterization, ho...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2020.0840
更新日期：2020-12-28 00:00:00
abstract：BACKGROUND AND PURPOSE:Performing warm-up exercises before athletic competition or stage performance is very common; however, most surgeons do not "warm up" before performing complex surgery. We analyzed the intraoperative effects of warming up before surgery in an experienced laparoscopic surgeon. METHODS:A retrospec...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2011.0134
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children journal_title：Journal of endourology pub_type： 杂志文章 doi：10.1089/end.2005.19.968 更新日期：2005-10-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Patients with spinal neuropathy are at an increased risk for urolithiasis. Data on percutaneous nephrolithotomy (PCNL) in this population are limited. Our objective is to review our experience in managing stones with PCNL in patients with spinal neuropathy. PATIENTS AND METHODS:Twenty-one patien...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2012.0344
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Laparoscopic pyeloplasty (LP) for the repair of ureteropelvic junction (UPJ) obstruction provides results similar to those of open pyeloplasty with less morbidity, but its use has been limited, as it requires advanced laparoscopic skills. Robotic computer-assisted pyeloplasty (RAP) has the potent...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2006.20.813
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:To investigate perioperative outcomes, the learning curve, and 2-year follow-up after transurethral enucleation with bipolar (TUEB) for patients with benign prostatic hyperplasia (BPH). METHODS:From December 2011 to October 2016, 603 consecutive patients underwent TUEB for BPH, performed by a single surgeon...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2017.0092
更新日期：2017-07-01 00:00:00
abstract：:Distal ureteral stones are usually treated today by extracorporeal shock wave lithotripsy or extraction by retrograde ureteroscopy with or without previous fragmentation. We performed a cost-efficacy study of three methods to treat them: extracorporeal lithotripsy using either a spark gap lithotripter, the unmodified ...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.1993.7.289
更新日期：1993-08-01 00:00:00
abstract：:The tissue effects of a laser are responsible for the therapeutic value as well as the potential for complications. Within certain constraints, the type and depth of energy effect can be controlled by the selection of the wavelength as well as of appropriate energy parameters. In a clinical endoscopic setting, however...
journal_title：Journal of endourology
pub_type： 杂志文章,评审
doi：10.1089/end.1993.7.389
更新日期：1993-10-01 00:00:00
abstract：PURPOSE:The CyberKnife (CK), a linear accelerator mounted on a robotic device, enables excellent dose conformation to the target and minimizes dose to surrounding normal tissue. It is a very suitable device for performing hypofractionated stereotactic body radiotherapy as monotherapy for low- to intermediate-risk prost...
journal_title：Journal of endourology
pub_type： 杂志文章
doi：10.1089/end.2009.0438
更新日期：2010-05-01 00:00:00
