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• W2912861149 abstract "In this well-written, retrospective study, the authors answered the questions of whether robotic-assisted laparoscopic radical cystectomy is feasible in the elderly and whether it has outcomes comparable with those of the young population. The answer for these questions was positive according to the authors' maturing experience. Regarding the first question (whether it is feasible to perform robotic radical cystectomy in the elderly), the answer was previously stated by Pruthi et al 1 Pruthi R.S. Nielsen M.E. Nix J. et al. Robotic radical cystectomy for bladder cancer: surgical and pathological outcomes in 100 consecutive cases. J Urol. 2010; 183: 510-514 Crossref PubMed Scopus (154) Google Scholar in an earlier publication in 2010. For the second question (whether the morbidity rate would be different for the elderly than for a younger population), if we need a more precise answer than that previously published, 1 Pruthi R.S. Nielsen M.E. Nix J. et al. Robotic radical cystectomy for bladder cancer: surgical and pathological outcomes in 100 consecutive cases. J Urol. 2010; 183: 510-514 Crossref PubMed Scopus (154) Google Scholar the optimal method would be to perform a prospective randomized trial and not a case-series study. That is because the latter is attended by the possible bias in patient selection. In addition, it has been stated in previous studies that the morbidity and functional outcome of robotic-assisted and laparoscopic radical cystectomy are comparable to those of the open approach 2 Haber G.P. Crouzet S. Gill I.S. Laparoscopic and robotic assisted radical cystectomy for bladder cancer: a critical analysis. Eur Urol. 2008; 54: 54-62 Abstract Full Text Full Text PDF PubMed Scopus (153) Google Scholar , 3 Stephenson A.J. Gill I.S. Laparoscopic radical cystectomy for muscle-invasive bladder cancer: pathological and oncological outcomes. BJU Int. 2008; 102: 1296-1301 Crossref PubMed Scopus (22) Google Scholar and that the outcome of the open approach in the elderly population has been favorable. 4 Chang S.S. Alberts G. Cookson M.S. et al. Radical cystectomy is safe in elderly patients at high risk. J Urol. 2001; 166: 938-941 Crossref PubMed Google Scholar , 5 Clark P.E. Stein J.P. Groshen S.G. et al. Radical cystectomy in the elderly: comparison of clinical outcomes between younger and older patients. Cancer. 2005; 104: 36-43 Crossref PubMed Scopus (181) Google Scholar , 6 Farnham S.B. Cookson M.S. Alberts G. et al. Benefit of radical cystectomy in the elderly patient with significant co-morbidities. Urol Oncol. 2004; 22: 178-181 Crossref PubMed Scopus (62) Google Scholar , 7 Figueroa A.J. Stein J.P. Dickinson M. et al. Radical cystectomy for elderly patients with bladder carcinoma: an updated experience with 404 patients. Cancer. 1998; 83: 141-147 Crossref PubMed Scopus (171) Google Scholar , 8 Froehner M. Brausi M.A. Herr H.W. et al. Complications following radical cystectomy for bladder cancer in the elderly. Eur Urol. 2009; 56: 443-454 Abstract Full Text Full Text PDF PubMed Scopus (221) Google Scholar , 9 Hollenbeck B.K. Miller D.C. Taub D. et al. Aggressive treatment for bladder cancer is associated with improved overall survival among patients 80 years old or older. Urology. 2004; 64: 292-297 Abstract Full Text Full Text PDF PubMed Scopus (144) Google Scholar Feasibility and Outcomes of Robotic-assisted Laparoscopic Radical Cystectomy for Bladder Cancer in Older PatientsUrologyVol. 77Issue 5PreviewTo report our maturing experience with robotic radical cystectomy as applied to an older patient population with regard to perioperative measures and pathologic outcomes. A robotic approach to radical cystectomy for bladder cancer have recently been described, but its application in an older patient population, which is often the case in bladder cancer and cystectomy, has not yet been assessed. Full-Text PDF ReplyUrologyVol. 77Issue 5PreviewWe appreciate the thoughtful editorial comments made regarding our manuscript entitled “Feasibility and outcomes of robotic-assisted laparoscopic radical cystectomy for bladder cancer in the elderly” and understand the nature and perceptions of some of the concerns raised in the editorial comment. Full-Text PDF" @default.
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• W2912861149 doi "https://doi.org/10.1016/j.urology.2010.07.511" @default.
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