Morbidity and mortality after robot-assisted radical cystectomy with intracorporeal urinary diversion in octogenarians: results from the European Association of Urology Robotic Urology Section Scientific Working Group.
Ashkan MortezaviAlessio CrippaSebastian EdelingSasa PokupicPaolo Dell'OglioFrancesco MontorsiFrederiek D'HondtAlexandre MottrieKarel DecaesteckerCarl J WijburgJustin CollinsJohn D KellyWei Shen TanAshwin SridharHubert JohnAbdullan Erdem CandaChristian SchwentnerErik Peder RönmarkPeter WiklundAbolfazl HosseiniPublished in: BJU international (2020)
The minimally invasive approach to RARC with ICUD for bladder cancer in well-selected elderly patients (aged ≥80 years) achieved a tolerable high-grade complication rate; the 90-day postoperative mortality rate was driven by cancer progression and the non-cancer-related rate was equivalent to that of patients aged <80 years. However, an increased OCM rate in this elderly group after the first year should be taken into account. These results will support clinicians and patients when balancing cancer-related vs treatment-related risks and benefits.