使用低功率钬激光进行非肌层浸润性膀胱肿瘤的膀胱内切除术--新希望。

IF 0.8 Q4 UROLOGY & NEPHROLOGY
Sunirmal Choudhury, Shahbaaz Ahmed, Surajit Sasmal, Prakhar Patel
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引用次数: 0

摘要

简介:膀胱肿瘤是最常见的泌尿系统恶性肿瘤之一:膀胱肿瘤是最常见的泌尿系统恶性肿瘤之一。传统上,膀胱肿瘤最初采用传统的经尿道膀胱肿瘤切除术(cTURBT)进行治疗,但这种方法存在一些缺点和并发症。人们一直在努力寻找新的治疗方法。在这项研究中,我们采用了低功率钬激光全切术,并对其安全性、有效性和可行性进行了评估:这项前瞻性观察研究共纳入了 40 名患者,他们在获得伦理委员会批准和知情同意后接受了低功率钬激光膀胱肿瘤全切术。研究收集了术中和术后数据:肿瘤平均大小为 21.68 ± 9.55 毫米。其中,65%的患者肿瘤大小小于 3 厘米。14名患者(35%)的肿瘤位于多个部位。每个肿瘤的平均切除时间为(24.84 ± 6.83)分钟。没有一个病例需要转为 cTURBT。所有病例均无闭孔反射或膀胱穿孔。92.5%的患者的组织病理学报告显示存在逼尿肌。导尿时间平均为 1.82 ± 0.61 天:结论:对于 NMIBC,低功率钬激光全切术是一种安全的手术,并发症风险极低。高的排尿阳性标本率表明了它的有效性和可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
En-bloc resection of non-muscle invasive urinary bladder tumors using low power Holmium laser-A new promise.

Introduction: Urinary bladder tumors are one of the most common urological malignancies. Traditionally, it has been initially managed with conventional trans-urethral resection of urinary bladder tumors (cTURBT) which has certain drawbacks and complications. Efforts have been made to find newer methods for management. In this study, we have used low power Holmium laser en-bloc resection and have assessed its safety, efficacy and feasibility.

Materials and methods: Forty patients have been included in this prospective observational study who underwent low power Holmium laser en-bloc resection of urinary bladder tumor after taking Institutional ethical committee clearance and informed consent from all the patients. Intra-operative and post-operative data were collected.

Results: The average tumor size was 21.68 ± 9.55 mm. Out of those, 65% of the patients had a tumor less than 3 cm in size. Fourteen patients (35%) had tumors at multiple sites. The average duration of resection per tumor was 24.84 ± 6.83 min. None of the cases required conversion to cTURBT. There was no obturator reflex or urinary bladder perforation in any of the cases. Detrusor muscle was present in the histopathology reports of 92.5% patients. The average duration of catheterization was 1.82 ± 0.61 days.

Conclusion: For NMIBC's, low power Holmium laser en-bloc resection is a safe procedure with minimum risk of complications. High rate of detrusor-positive specimens indicates its efficacy and feasibility.

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来源期刊
Urologia Journal
Urologia Journal UROLOGY & NEPHROLOGY-
CiteScore
0.60
自引率
12.50%
发文量
66
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