Drago J R, Rohner T J
Urology. 1983 Jan;21(1):17-9. doi: 10.1016/0090-4295(83)90115-2.
Cystectomy and urinary diversion have been done on 28 patients more than age seventy with a zero perioperative mortality. Nine female patients with an average age of 77.6 years and 19 male patients with an average age of 74.4 years with 3 patients being greater than age eighty, are the subject of this review. Complication rate, blood loss, and hospital stay were not significantly different from patients having cystectomy and urinary diversion who were seventy years of age or less. Twenty-seven of the 28 patients had muscle-invading tumors; 12 patients are alive with a median survival of greater than thirty months. Five of 10 patients who did not receive radiation therapy are alive; 7 of 18 patients who received some form of radiation therapy are alive. Six patients had been treated initially with 7,000 rad for definitive therapy of bladder carcinomas. In carefully selected patients, when appropriate attention is paid to general patient status, cardiovascular system, pulmonary function, and fluid and electrolyte status, cystectomy and diversion can be completed with an acceptable rate of morbidity.
对28例年龄超过70岁的患者进行了膀胱切除术及尿流改道术，围手术期死亡率为零。本文回顾的对象包括9例平均年龄77.6岁的女性患者和19例平均年龄74.4岁的男性患者，其中3例年龄超过80岁。并发症发生率、失血量和住院时间与年龄在70岁及以下接受膀胱切除术及尿流改道术的患者相比无显著差异。28例患者中有27例患有肌层浸润性肿瘤；12例患者存活，中位生存期超过30个月。10例未接受放疗的患者中有5例存活；18例接受某种形式放疗的患者中有7例存活。6例患者最初接受了7000拉德的放疗以进行膀胱癌的根治性治疗。在精心挑选的患者中，若对患者的一般状况、心血管系统、肺功能以及液体和电解质状况给予适当关注，膀胱切除术及尿流改道术可以在可接受的发病率下完成。
