Transurethral „en bloc“ resection technique in non-muscle invasive bladder cancer
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VLADANOV, Ivan; PLEŞACOV, Alexei; COLȚA, Artur; CEBAN, Emil; GHICAVÎI, Vitalie; SCUTELNIC, Ghenadie. Transurethral „en bloc“ resection technique in non-muscle invasive bladder cancer. In: Archives of the Balkan Medical Union. 2020, nr. 2(55), pp. 257-263. ISSN 1584-9244.
10.31688/ABMU.2020.55.2.07
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Archives of the Balkan Medical Union
Numărul 2(55) / 2020 / ISSN 1584-9244

Transurethral „en bloc“ resection technique in non-muscle invasive bladder cancer

Technique de la résection transurétrale „en-bloc“ du cancer de la vessie sans envahissement du muscle


DOI: 10.31688/ABMU.2020.55.2.07
Pag. 257-263

Vladanov Ivan, Pleşacov Alexei, Colța Artur, Ceban Emil, Ghicavîi Vitalie, Scutelnic Ghenadie
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 21 septembrie 2020


Rezumat

Introduction. Transurethral resection of the bladder tumours (TURBT) is the standard approach to bladder tumour removal; however, it has several disadvantages. The objective of the study was to evaluate the safety and efficacy of „en bloc“resection of non-muscle invasive bladder tumours (ERBT) by using the conventional monopolar „Hook“resection electrode. Material and methods. ERBT and TURBT procedures were conducted in 67 and in 85 patients respectively, diagnosed with superficial bladder tumours. In the ERBT group, the tumours were removed retrograde en bloc, under direct vision, via a conventional monopolar „Hook“electrode. Clinical pathological, intra-operative and post-operative patients’ data were compared retrospectively between both groups (ERBT and TURBT). Results. Of the 152 patients, 67 underwent ERBT and 85 were treated with TURBT. Both groups were comparable in clinical characteristics. ERBT has been performed as safely and effectively as TURBT. There were no significant differences in the operative time and intraoperative or postoperative surgical complications. The comparative recurrence rates were similar for both groups during up to 24-month follow-up. The detrusor muscle fibers were histologically identified in 100% of ERBT tumour samples and marginal tumour bases, and only in 80% of post-TURBT samples. Conclusions. ERBT is a feasible and safe technique for removing superficial bladder tumours using a monopolar „Hook“resection, with the same advantages of a proper tumour resection, as well as possibility to collect good quality tumour samples and bladder tumour base specimen for pathological diagnosis and staging compared to standard TURBT.

Cuvinte-cheie
En bloc resection, ERBT, Non-muscle invasive bladder cancer, TURBT