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Die Zystektomie im Alter

Komplikationsanalyse unter Anwendung der Clavien-Dindo-Klassifikation

Cystectomy in elderly patients

Analysis of complications using the Clavien-Dindo classification

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Zusammenfassung

Die radikale Zystektomie (RC) stellt den Goldstandard in der Therapie des muskelinvasiven Urothelkarzinoms der Harnblase dar. Verbesserungen der Operationstechnik und der perioperativen Betreuung haben sie zu einem Eingriff gemacht, der auch in einem alternden Patientenkollektiv gut und sicher durchführbar ist. In den letzten Jahren hat sich die Klassifikation von Komplikationen nach Clavien-Dindo in der Literatur zu urologischen Krankheitsbildern etabliert. Der Charlson-Comorbidity-Index ohne Alterskorrektur kann in der Behandlungsplanung vor RC zur Abschätzung des Mortalitäts- und Komplikationsrisikos herangezogen werden

Abstract

Radical cystectomy (RC) represents the gold standard in the treatment of muscle invasive urothelial cancer of the bladder. Due to improvements in operation techniques and perioperative care it has become a good and safe procedure even in elderly patients. In recent years the Clavien-Dindo classification has been frequently used for complication assessment in urological research. The Charlson comorbidity index without age correction can be used in treatment planning for RC to identify patients at risk.

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  1. Urologische Universitätsklinik, Marienhospital Herne, Ruhr-Universität Bochum, Widumerstraße 8, 44627, Herne, Deutschland

    F. Roghmann, J. Noldus, C. von Bodman, A. Holz, M. Brock & J. Palisaar

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  1. F. Roghmann
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  2. J. Noldus
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  3. C. von Bodman
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  4. A. Holz
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  5. M. Brock
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  6. J. Palisaar
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Correspondence to F. Roghmann.

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Roghmann, F., Noldus, J., von Bodman, C. et al. Die Zystektomie im Alter. Urologe 51, 1386–1392 (2012). https://doi.org/10.1007/s00120-012-2930-6

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  • DOI: https://doi.org/10.1007/s00120-012-2930-6

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