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En bloc resection of urothelium carcinoma of the bladder (EBRUC): a European multicenter study to compare safety, efficacy, and outcome of laser and electrical en bloc transurethral resection of bladder tumor.

Identifieur interne : 000087 ( PubMed/Corpus ); précédent : 000086; suivant : 000088

En bloc resection of urothelium carcinoma of the bladder (EBRUC): a European multicenter study to compare safety, efficacy, and outcome of laser and electrical en bloc transurethral resection of bladder tumor.

Auteurs : Mario W. Kramer ; Jens J. Rassweiler ; Jan Klein ; Alexey Martov ; Nikolay Baykov ; Lukas Lusuardi ; Günter Janetschek ; Rodolfo Hurle ; Mathias Wolters ; Mahmoud Abbas ; Christoph A. Von Klot ; Armin Leitenberger ; Markus Riedl ; Udo Nagele ; Axel S. Merseburger ; Markus A. Kuczyk ; Marko Babjuk ; Thomas R W. Herrmann

Source :

RBID : pubmed:25910478

Abstract

En bloc resection of bladder tumors (ERBT) may improve staging quality and perioperative morbidity and influence tumor recurrence. This study was designed to evaluate the safety, efficacy, and recurrence rates of electrical versus laser en bloc resection of bladder tumors.

DOI: 10.1007/s00345-015-1568-6
PubMed: 25910478

Links to Exploration step

pubmed:25910478

Le document en format XML

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<name sortKey="Merseburger, Axel S" sort="Merseburger, Axel S" uniqKey="Merseburger A" first="Axel S" last="Merseburger">Axel S. Merseburger</name>
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<name sortKey="Babjuk, Marko" sort="Babjuk, Marko" uniqKey="Babjuk M" first="Marko" last="Babjuk">Marko Babjuk</name>
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<name sortKey="Lusuardi, Lukas" sort="Lusuardi, Lukas" uniqKey="Lusuardi L" first="Lukas" last="Lusuardi">Lukas Lusuardi</name>
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<nlm:affiliation>Department of Urology, Medical University Salzburg, Salzburg, Austria.</nlm:affiliation>
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<name sortKey="Janetschek, Gunter" sort="Janetschek, Gunter" uniqKey="Janetschek G" first="Günter" last="Janetschek">Günter Janetschek</name>
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<name sortKey="Hurle, Rodolfo" sort="Hurle, Rodolfo" uniqKey="Hurle R" first="Rodolfo" last="Hurle">Rodolfo Hurle</name>
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<nlm:affiliation>Department of Urology, Humanitas Research Hospital, Milan, Italy.</nlm:affiliation>
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<name sortKey="Wolters, Mathias" sort="Wolters, Mathias" uniqKey="Wolters M" first="Mathias" last="Wolters">Mathias Wolters</name>
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<nlm:affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Abbas, Mahmoud" sort="Abbas, Mahmoud" uniqKey="Abbas M" first="Mahmoud" last="Abbas">Mahmoud Abbas</name>
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<nlm:affiliation>Institute of Pathology, Hannover Medical School, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Von Klot, Christoph A" sort="Von Klot, Christoph A" uniqKey="Von Klot C" first="Christoph A" last="Von Klot">Christoph A. Von Klot</name>
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<name sortKey="Leitenberger, Armin" sort="Leitenberger, Armin" uniqKey="Leitenberger A" first="Armin" last="Leitenberger">Armin Leitenberger</name>
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<nlm:affiliation>Department of Urology, Hospital of Wolfsburg, Wolfsburg, Germany.</nlm:affiliation>
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<name sortKey="Riedl, Markus" sort="Riedl, Markus" uniqKey="Riedl M" first="Markus" last="Riedl">Markus Riedl</name>
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<nlm:affiliation>Department of Urology, Hospital of Wolfsburg, Wolfsburg, Germany.</nlm:affiliation>
</affiliation>
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<name sortKey="Nagele, Udo" sort="Nagele, Udo" uniqKey="Nagele U" first="Udo" last="Nagele">Udo Nagele</name>
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<nlm:affiliation>Department of Urology and Andrology, TILAK General Hospital Hall, Hall in Tyrol, Austria.</nlm:affiliation>
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<name sortKey="Merseburger, Axel S" sort="Merseburger, Axel S" uniqKey="Merseburger A" first="Axel S" last="Merseburger">Axel S. Merseburger</name>
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<nlm:affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Kuczyk, Markus A" sort="Kuczyk, Markus A" uniqKey="Kuczyk M" first="Markus A" last="Kuczyk">Markus A. Kuczyk</name>
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<nlm:affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</nlm:affiliation>
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<name sortKey="Babjuk, Marko" sort="Babjuk, Marko" uniqKey="Babjuk M" first="Marko" last="Babjuk">Marko Babjuk</name>
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<nlm:affiliation>Department of Urology, Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic.</nlm:affiliation>
</affiliation>
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<name sortKey="Herrmann, Thomas R W" sort="Herrmann, Thomas R W" uniqKey="Herrmann T" first="Thomas R W" last="Herrmann">Thomas R W. Herrmann</name>
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<title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
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<date when="2015" type="published">2015</date>
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<front>
<div type="abstract" xml:lang="en">En bloc resection of bladder tumors (ERBT) may improve staging quality and perioperative morbidity and influence tumor recurrence. This study was designed to evaluate the safety, efficacy, and recurrence rates of electrical versus laser en bloc resection of bladder tumors.</div>
</front>
</TEI>
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<PMID Version="1">25910478</PMID>
<DateCreated>
<Year>2015</Year>
<Month>11</Month>
<Day>23</Day>
</DateCreated>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-8726</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>33</Volume>
<Issue>12</Issue>
<PubDate>
<Year>2015</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
</Journal>
<ArticleTitle>En bloc resection of urothelium carcinoma of the bladder (EBRUC): a European multicenter study to compare safety, efficacy, and outcome of laser and electrical en bloc transurethral resection of bladder tumor.</ArticleTitle>
<Pagination>
<MedlinePgn>1937-43</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-015-1568-6</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">En bloc resection of bladder tumors (ERBT) may improve staging quality and perioperative morbidity and influence tumor recurrence. This study was designed to evaluate the safety, efficacy, and recurrence rates of electrical versus laser en bloc resection of bladder tumors.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This European multicenter study included 221 patients at six academic hospitals. Transurethral ERBT was performed with monopolar/bipolar current or holmium/thulium laser energy. Staging quality measured by detrusor muscle involvement, various perioperative parameters, and 12-month follow-up data was analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Electrical and laser ERBT were used to treat 156 and 65 patients, respectively. Median tumor size was 2.1 cm; largest tumor was 5 cm. Detrusor muscle was present in 97.3 %. A switch to conventional TURBT was significantly more frequent in the electrical ERBT group (26.3 vs. 1.5 %, p < 0.001). Median operation duration (25 min), postoperative irrigation (1 day), catheterization time (2 days), and hospitalization (3 days) were similar. Overall complication rate was low (Clavien ≥ 3, n = 6 [2.7 %]). Hemoglobin was significantly lower after electrical ERBT (p = 0.0013); however, overall hemoglobin loss was not clinically relevant (0.38 g/dl). Patients (n = 148) were followed for 12 months; 33 (22.3 %) had recurrences. In total, 63.6 % recurrences occurred outside the ERBT resection field. No difference was noted between ERBT groups.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ERBT is safe and reliable regardless of the energy source and provides high-quality resections of tumors >1 cm. Recurrence rates did not differ between groups, and the majority of recurrences occurred outside the ERBT resection field.</AbstractText>
</Abstract>
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</AffiliationInfo>
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<Affiliation>Department of Urology, SLK Kliniken Heilbronn, Heilbronn, Germany.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Department of Urology, Medical University Salzburg, Salzburg, Austria.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Urology, Medical University Salzburg, Salzburg, Austria.</Affiliation>
</AffiliationInfo>
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<LastName>Hurle</LastName>
<ForeName>Rodolfo</ForeName>
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</AffiliationInfo>
</Author>
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<LastName>Wolters</LastName>
<ForeName>Mathias</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Abbas</LastName>
<ForeName>Mahmoud</ForeName>
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<AffiliationInfo>
<Affiliation>Institute of Pathology, Hannover Medical School, Hannover, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>von Klot</LastName>
<ForeName>Christoph A</ForeName>
<Initials>CA</Initials>
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<Affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Leitenberger</LastName>
<ForeName>Armin</ForeName>
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<Affiliation>Department of Urology, Hospital of Wolfsburg, Wolfsburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Riedl</LastName>
<ForeName>Markus</ForeName>
<Initials>M</Initials>
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<Affiliation>Department of Urology, Hospital of Wolfsburg, Wolfsburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Nagele</LastName>
<ForeName>Udo</ForeName>
<Initials>U</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology and Andrology, TILAK General Hospital Hall, Hall in Tyrol, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Merseburger</LastName>
<ForeName>Axel S</ForeName>
<Initials>AS</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Kuczyk</LastName>
<ForeName>Markus A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Babjuk</LastName>
<ForeName>Marko</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Urology, Hospital Motol, Second Faculty of Medicine, Charles University, Prague, Czech Republic.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Herrmann</LastName>
<ForeName>Thomas R W</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Urology and Urological Oncology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. herrmann.thomas@mh-hannover.de.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2015</Year>
<Month>04</Month>
<Day>25</Day>
</ArticleDate>
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<Country>Germany</Country>
<MedlineTA>World J Urol</MedlineTA>
<NlmUniqueID>8307716</NlmUniqueID>
<ISSNLinking>0724-4983</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Bladder cancer</Keyword>
<Keyword MajorTopicYN="N">En bloc</Keyword>
<Keyword MajorTopicYN="N">Holmium</Keyword>
<Keyword MajorTopicYN="N">Laser</Keyword>
<Keyword MajorTopicYN="N">TURBT</Keyword>
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