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Urinary diversion by neobladder reconstruction after radical cystectomy in the elderly: outcomes and survival 期刊论文

编号：

d0969a01-1768-4066-8fbc-cdbcbe7de5a6
作者：

Mao, ShiYu^[1];Xiong, DaBo^[2];Huang, TianBao^[3];Cai, KeKe^[1];Xu, Liang^[1];Zheng, JunHua^[1];Ye, DingWei(叶定伟)^[4]Yao, XuDong^[1];
语种：

English
期刊：

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE ISSN：1940-5901 2016 年 9 卷 12 期 (23576 - 23583)
收录：
关键词：

Cystectomy elderly functional outcome orthotopic neobladder survival
摘要：

This 2-center retrospective study compared the outcomes after open radical cystectomy of older patients who underwent urinary diversion (UD) by orthotopic ileal neobladder reconstruction (Studer technique) or ileal conduit (Bricker). Between April 2005 and August 2013, 216 suitable consecutive patients aged >= 65 years underwent UD after cystectomy, either by ileal conduit using the Bricker method, or orthotopic ileal neobladder reconstruction in accordance with the Studer technique. Rates of the following were noted: transfusions; complications; 30-day mortality; urethral recurrence; overall and cancer-specific survival; and for the Studer group, continence. The mean age of the study population was 72 (range, 65-83) years. Thirty-one patients (14%) underwent the Studer procedure, 185 (86%) received the Bricker. The rates of early complications were 41.9% and 49.2% in the Studer and Bricker groups, respectively (P=0.454); late complications were 54.8% and 40.4% (P=0.135); and 30-day mortality was 0% and 3.8% (P=0.597). The median follow-up was 48 months. The 2-y and 5-y overall survival rates were 80.6% and 60.5% in the Studer group, and 55.1% and 31.8% in the Bricker group. The 2- and 5-y cancer-specific survivals were 89.7% and 78.6% in the Studer group; 76.3% and 61.8% in the Bricker group. After the neobladder reconstructions, the daytime continence rate was 97%, nocturnal was 67%. Therefore, the complications and oncological outcomes of older patients given UD by orthotopic ileal neobladder reconstruction in accordance with Studer are similar relative to that of patients given an ileal conduit by the Bricker method. The complete continence rates for the elders by neobladder are satisfactory. With careful patient selection, it is appropriate to perform an orthotopic neobladder for elderly patients after cystectomy.
推荐引用方式
GB/T 7714：

Mao Shi-Yu,Xiong Da-Bo,Huang Tian-Bao, et al. Urinary diversion by neobladder reconstruction after radical cystectomy in the elderly: outcomes and survival [J].INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,2016,9(12):23576-23583.
APA：

Mao Shi-Yu,Xiong Da-Bo,Huang Tian-Bao,Cai Ke-Ke,&Yao Xu-Dong.(2016).Urinary diversion by neobladder reconstruction after radical cystectomy in the elderly: outcomes and survival .INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE,9(12):23576-23583.
MLA：

Mao Shi-Yu, et al. "Urinary diversion by neobladder reconstruction after radical cystectomy in the elderly: outcomes and survival" .INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE 9,12(2016):23576-23583.

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