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РЕЗУЛЬТАТЫ РАДИКАЛЬНОЙ ЦИСТОПРОСТАТОВЕЗИКУЛЭКТОМИИ У ПОЖИЛЫХ ПАЦИЕНТОВ

https://doi.org/10.21886/2308-6424-2016-0-3-81-125

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Аннотация

Резюме. В результате увеличения продолжительности жизни показания к радикальной цистэктомии ставятся все чаще и чаще. Пожилые мультиморбидные пациенты не являются исключением. Целью данной работы является оценка цистэктомии у пациентов старше 70 лет. При помощи сравнительного анализа двух групп пациентов 70-75 лет (I группа) и старше 75 лет (группа II) были оценены следующие параметры: предоперационное заболеваемость (индекс коморбидности Чарлсона), продолжительность пребывания в стационаре, частота переливания крови, ранние и поздние осложнения, смертность и продолжительность жизни после операции. Было установлено, что пациенты старше 75 лет, которые имели более отягащенный кардиопульмональный анамнез находились дольше в стационаре и чаще получале перелевание крови. Ранние и поздние осложнения, которые оценивались при помощи классификации Клавиен-Диндо были одинаковыми в обеих группах. В то же время терапевтические и большие осложнения (Клавиен-Диндо 3-5) доминировали в группе пациентов старше 75 лет. Более молодые пациенты жили вдвое дольше, чем пожилые пациенты. При одинаковой 30 дневной смертности в обеих группах, 90 дневная смертность была выше в старшей возрастной группе. 5-летняя выживаемость была достоверно выше в группе I. Таким образом, к радикальной цистэктомии следует стремиться и в более позднем возрасте, даже у мультиморбидных пациентов после точной стратификации рисков и оценки индивидуального биологического состояния, ожидая при этом более высокие но приемлемые показатели осложнений и смертности. 

Об авторах

А. Менджерицкий
Университет Мартина Лютера, Галле-Виттенберг
Россия

Медицинский факультет 

Кафедра урологии и центр трансплантации почки



П. Форнара
Университет Мартина Лютера, Галле-Виттенберг
Россия

Медицинский факультет 

Кафедра урологии и центр трансплантации почки



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Для цитирования:


Менджерицкий А., Форнара П. РЕЗУЛЬТАТЫ РАДИКАЛЬНОЙ ЦИСТОПРОСТАТОВЕЗИКУЛЭКТОМИИ У ПОЖИЛЫХ ПАЦИЕНТОВ. Вестник урологии. 2016;(3):81-125. https://doi.org/10.21886/2308-6424-2016-0-3-81-125

For citation:


Mendzheritsky A., Fornara P. RESULTS OF RADICAL CYSTPROSTATVESICULECTOMY IN OLD PATIENTS. Urology Herald. 2016;(3):81-125. (In Russ.) https://doi.org/10.21886/2308-6424-2016-0-3-81-125

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