A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
Identifieur interne : 000196 ( Main/Curation ); précédent : 000195; suivant : 000197A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
Auteurs : Kyung Jin Oh [Corée du Sud] ; Yoo-Duk Choi [Corée du Sud] ; Ho Suck Chung [Corée du Sud] ; Eu Chang Hwang [Corée du Sud] ; Seung Il Jung [Corée du Sud] ; Dong Deuk Kwon [Corée du Sud] ; Kwangsung Park [Corée du Sud] ; Taek Won Kang [Corée du Sud]Source :
- Korean Journal of Urology [ 2005-6737 ] ; 2015.
Abstract
Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that of conventional TURBT.
Monopolar TURBT (24-Fr Karl Storz) was performed in 35 patients who had superficial bladder tumors. After defining the tumor margin, the tumor and surrounding mucosa were grasped by use of a loop electrode and resectoscope sheath. With tight grasping, linear moving resection was performed. The patients' demographic, intraoperative, and postoperative data were analyzed between the conventional and grasp and bite TURBT groups.
Of 35 patients, 16 patients underwent conventional TURBT (group 1), and the other 19 patients underwent grasp and bite TURBT (group 2). Both groups were similar in age, tumor multiplicity, size, anesthesia method, and location. Grasp and bite TURBT could be performed as safely and effectively as conventional TURBT. There were no significant differences in irrigation duration, urethral catheterization, postoperative hemoglobin drop, or length of hospital stay. No significant side effects such as bladder perforation, severe obturator reflex, or persistent bleeding occurred. There were no significant pathological differences between specimens according to the type of resection technique.
The grasp and bite TURBT technique was feasible for superficial bladder tumors. It may be a good tool for inexperienced surgeons owing to its convenient and easy manner.
Url:
DOI: 10.4111/kju.2015.56.3.227
PubMed: 25763127
PubMed Central: 4355434
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Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Yoo Duk" sort="Choi, Yoo Duk" uniqKey="Choi Y" first="Yoo-Duk" last="Choi">Yoo-Duk Choi</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Pathology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pathology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Chung, Ho Suck" sort="Chung, Ho Suck" uniqKey="Chung H" first="Ho Suck" last="Chung">Ho Suck Chung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Hwang, Eu Chang" sort="Hwang, Eu Chang" uniqKey="Hwang E" first="Eu Chang" last="Hwang">Eu Chang Hwang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Seung Il" sort="Jung, Seung Il" uniqKey="Jung S" first="Seung Il" last="Jung">Seung Il Jung</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Kwon, Dong Deuk" sort="Kwon, Dong Deuk" uniqKey="Kwon D" first="Dong Deuk" last="Kwon">Dong Deuk Kwon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Park, Kwangsung" sort="Park, Kwangsung" uniqKey="Park K" first="Kwangsung" last="Park">Kwangsung Park</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Taek Won" sort="Kang, Taek Won" uniqKey="Kang T" first="Taek Won" last="Kang">Taek Won Kang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Urology, Chonnam National University School of Medicine, Gwangju, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Urology, Chonnam National University School of Medicine, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author></analytic><series><title level="j">Korean Journal of Urology</title><idno type="ISSN">2005-6737</idno><idno type="eISSN">2005-6745</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that of conventional TURBT.</p></sec><sec><title>Materials and Methods</title><p>Monopolar TURBT (24-Fr Karl Storz) was performed in 35 patients who had superficial bladder tumors. After defining the tumor margin, the tumor and surrounding mucosa were grasped by use of a loop electrode and resectoscope sheath. With tight grasping, linear moving resection was performed. The patients' demographic, intraoperative, and postoperative data were analyzed between the conventional and grasp and bite TURBT groups.</p></sec><sec><title>Results</title><p>Of 35 patients, 16 patients underwent conventional TURBT (group 1), and the other 19 patients underwent grasp and bite TURBT (group 2). Both groups were similar in age, tumor multiplicity, size, anesthesia method, and location. Grasp and bite TURBT could be performed as safely and effectively as conventional TURBT. There were no significant differences in irrigation duration, urethral catheterization, postoperative hemoglobin drop, or length of hospital stay. No significant side effects such as bladder perforation, severe obturator reflex, or persistent bleeding occurred. There were no significant pathological differences between specimens according to the type of resection technique.</p></sec><sec><title>Conclusions</title><p>The grasp and bite TURBT technique was feasible for superficial bladder tumors. It may be a good tool for inexperienced surgeons owing to its convenient and easy manner.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Traxer, O" uniqKey="Traxer O">O Traxer</name></author><author><name sortKey="Pasqui, F" uniqKey="Pasqui F">F Pasqui</name></author><author><name sortKey="Gattegno, B" uniqKey="Gattegno B">B Gattegno</name></author><author><name sortKey="Pearle, Ms" uniqKey="Pearle M">MS Pearle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mckiernan, Jm" uniqKey="Mckiernan J">JM McKiernan</name></author><author><name sortKey="Kaplan, Sa" uniqKey="Kaplan S">SA Kaplan</name></author><author><name sortKey="Santarosa, Rp" uniqKey="Santarosa R">RP Santarosa</name></author><author><name sortKey="Te, Ae" uniqKey="Te A">AE Te</name></author><author><name sortKey="Sawczuk, Is" uniqKey="Sawczuk I">IS Sawczuk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kihl, B" uniqKey="Kihl B">B Kihl</name></author><author><name sortKey="Nilson, Ae" uniqKey="Nilson A">AE Nilson</name></author><author><name sortKey="Pettersson, S" uniqKey="Pettersson S">S Pettersson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pantuck, Aj" uniqKey="Pantuck A">AJ Pantuck</name></author><author><name sortKey="Baniel, J" uniqKey="Baniel J">J Baniel</name></author><author><name sortKey="Kirkali, Z" uniqKey="Kirkali Z">Z Kirkali</name></author><author><name sortKey="Klatte, T" uniqKey="Klatte T">T Klatte</name></author><author><name sortKey="Zomorodian, N" uniqKey="Zomorodian N">N Zomorodian</name></author><author><name sortKey="Yossepowitch, O" uniqKey="Yossepowitch O">O Yossepowitch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maurice, Mj" uniqKey="Maurice M">MJ Maurice</name></author><author><name sortKey="Vricella, Gj" uniqKey="Vricella G">GJ Vricella</name></author><author><name sortKey="Maclennan, G" uniqKey="Maclennan G">G MacLennan</name></author><author><name sortKey="Buehner, P" uniqKey="Buehner P">P Buehner</name></author><author><name sortKey="Ponsky, Le" uniqKey="Ponsky L">LE Ponsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Legrand, G" uniqKey="Legrand G">G Legrand</name></author><author><name sortKey="Soliman, H" uniqKey="Soliman H">H Soliman</name></author><author><name sortKey="Dubosq, F" uniqKey="Dubosq F">F Dubosq</name></author><author><name sortKey="Verine, J" uniqKey="Verine J">J Verine</name></author><author><name sortKey="Desgrandchamps, F" uniqKey="Desgrandchamps F">F Desgrandchamps</name></author><author><name sortKey="De The, H" uniqKey="De The H">H de The</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kurth, Kh" uniqKey="Kurth K">KH Kurth</name></author><author><name sortKey="Denis, L" uniqKey="Denis L">L Denis</name></author><author><name sortKey="Bouffioux, C" uniqKey="Bouffioux C">C Bouffioux</name></author><author><name sortKey="Sylvester, R" uniqKey="Sylvester R">R Sylvester</name></author><author><name sortKey="Debruyne, Fm" uniqKey="Debruyne F">FM Debruyne</name></author><author><name sortKey="Pavone Macaluso, M" uniqKey="Pavone Macaluso M">M Pavone-Macaluso</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wolters, M" uniqKey="Wolters M">M Wolters</name></author><author><name sortKey="Kramer, Mw" uniqKey="Kramer M">MW Kramer</name></author><author><name sortKey="Becker, Ju" uniqKey="Becker J">JU Becker</name></author><author><name sortKey="Christgen, M" uniqKey="Christgen M">M Christgen</name></author><author><name sortKey="Nagele, U" uniqKey="Nagele U">U Nagele</name></author><author><name sortKey="Imkamp, F" uniqKey="Imkamp F">F Imkamp</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nagele, U" uniqKey="Nagele U">U Nagele</name></author><author><name sortKey="Kugler, M" uniqKey="Kugler M">M Kugler</name></author><author><name sortKey="Nicklas, A" uniqKey="Nicklas A">A Nicklas</name></author><author><name sortKey="Merseburger, As" uniqKey="Merseburger A">AS Merseburger</name></author><author><name sortKey="Walcher, U" uniqKey="Walcher U">U Walcher</name></author><author><name sortKey="Mikuz, G" uniqKey="Mikuz G">G Mikuz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herr, Hw" uniqKey="Herr H">HW Herr</name></author><author><name sortKey="Reuter, Ve" uniqKey="Reuter V">VE Reuter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomas, K" uniqKey="Thomas K">K Thomas</name></author><author><name sortKey="O Brien, T" uniqKey="O Brien T">T O'Brien</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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