Robot assisted radical cystectomy in the over eighties (RCOES) – A United Kingdom multicentered study
BAUS ePoster online library. Yao M. 11/10/20; 304249; P12-12
Mr. Mark Yao
Mr. Mark Yao
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Robot assisted radical cystectomy in the over eighties (RCOES) – A United Kingdom multicentered study

E Latif 1, M Yao 1, S Folkard 1, E Bolton 2, WS Tan 3, VRM Kusuma 4, R Thurairaja 5, R Nair 5, N Vasdev 6, R Issa 7, H Patel 7, B Eddy 1, E Streeter 1, J Collins 3, M Perry 4, K Patil 4, P Dasgupta 5, MS Khan 5, P Kumar 2, P Rimington 8, T Briggs 3, J Kelly 3, SS Kommu 1

1. Kent and Canterbury Hospital, Canterbury
2. The Royal Marsden Hospital, London
3. University College Hospital, London
4. Royal Surrey County Hospital, Guildford
5. Guy’s Hospital, London
6. Lister Hospital, Stevenage
7. St George’s University Hospital, London
8. Eastbourne District General Hospital, Eastbourne

The risk to benefit ratio of surgical treatment of muscle-invasive bladder cancer in patients aged 80 and over has not been comprehensively quantified. Herein, we aim to compare the outcomes of Robot Assisted Radical Cystectomy between patients under and ≥80 years. Data from eight United Kingdom tertiary referral uro-oncology centres was collated. Power calculation mandated 128 patients greater than 80 years old to detect a clinically significant difference. Between September 2010 and April 2019, a total of 147 patients ≥80 years underwent Robot Assisted Radical Cystectomy and ileal conduit formation. These patients were compared with a comparator under 80 year old age group in the same time frame. The median age for <80 cohort was 71yrs (46-79), and 82yrs (80-88) for the ≥80 cohort, with a male majority. The majority of patients had ASA grade of 2 or 3. In the over 80s group there were a total of 26 Clavien Dindo 3+ complications (17.7%), which was comparable to the <80 group (12.5%). There was a significant difference between the length of stay, however, between those >80 (mean 11.84 days, SD 1.9, P<0.0001) and those <80 years old (mean 8.03 days, SD 7.71). There was no difference in survival at early and medium-term follow-up. Favourable outcomes can be achieved in dedicated tertiary referral pelvic urooncology centres, where robotic assisted radical cystectomy in over 80 year old patients is safe and feasible in the carefully selected patient, although the length of stay may be longer.
Robot assisted radical cystectomy in the over eighties (RCOES) – A United Kingdom multicentered study

E Latif 1, M Yao 1, S Folkard 1, E Bolton 2, WS Tan 3, VRM Kusuma 4, R Thurairaja 5, R Nair 5, N Vasdev 6, R Issa 7, H Patel 7, B Eddy 1, E Streeter 1, J Collins 3, M Perry 4, K Patil 4, P Dasgupta 5, MS Khan 5, P Kumar 2, P Rimington 8, T Briggs 3, J Kelly 3, SS Kommu 1

1. Kent and Canterbury Hospital, Canterbury
2. The Royal Marsden Hospital, London
3. University College Hospital, London
4. Royal Surrey County Hospital, Guildford
5. Guy’s Hospital, London
6. Lister Hospital, Stevenage
7. St George’s University Hospital, London
8. Eastbourne District General Hospital, Eastbourne

The risk to benefit ratio of surgical treatment of muscle-invasive bladder cancer in patients aged 80 and over has not been comprehensively quantified. Herein, we aim to compare the outcomes of Robot Assisted Radical Cystectomy between patients under and ≥80 years. Data from eight United Kingdom tertiary referral uro-oncology centres was collated. Power calculation mandated 128 patients greater than 80 years old to detect a clinically significant difference. Between September 2010 and April 2019, a total of 147 patients ≥80 years underwent Robot Assisted Radical Cystectomy and ileal conduit formation. These patients were compared with a comparator under 80 year old age group in the same time frame. The median age for <80 cohort was 71yrs (46-79), and 82yrs (80-88) for the ≥80 cohort, with a male majority. The majority of patients had ASA grade of 2 or 3. In the over 80s group there were a total of 26 Clavien Dindo 3+ complications (17.7%), which was comparable to the <80 group (12.5%). There was a significant difference between the length of stay, however, between those >80 (mean 11.84 days, SD 1.9, P<0.0001) and those <80 years old (mean 8.03 days, SD 7.71). There was no difference in survival at early and medium-term follow-up. Favourable outcomes can be achieved in dedicated tertiary referral pelvic urooncology centres, where robotic assisted radical cystectomy in over 80 year old patients is safe and feasible in the carefully selected patient, although the length of stay may be longer.
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