The effect of exfoliative transurethral resection of bladder tumor with bipolar plasmakinetic system
10.3760/cma.j.issn.1008-6706.2015.06.008
- VernacularTitle:经尿道双极等离子体推剥电切术治疗膀胱肿瘤的疗效观察
- Author:
Jianwen WANG
;
Wenyi ZHANG
;
Lijun GAO
;
Shudong CHENG
;
Huizhong YAN
;
Yun ZHAO
;
Muhua WANG
;
Chengjia BO
- Publication Type:Journal Article
- Keywords:
Urinary Bladder Neoplasms;
Argon Plasma Coagulation;
Cystectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(6):821-824
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of bipolar plasmakinetic system in exfoliative tran-surethral resection of bladder tumors .Methods Clinical data of 72 patients with non muscle invasive bladder cancer (NMIBC) were retrospectively analyzed.Transurethral bipolar plasmakinetic system was used ,30°viewer,F27 outer sheath was pushed off and bladder tumor was cut .When the bladder filling state ,pushed off bladder mucosa distance from tumor basal 2cm,then electricity cut the exfoliative bladder tumor .When bladder half filling state electricity cut the base of the bladder muscle layer of bladder tumor .Results This group of 72 cases were successfully completed surgery,surgery time 37~93 min,without intraoperative bladder perforation ,slight obturator nerve reflex in 5 cases. The keeping intact pathologic specimens was good for pathological staging .Conclusion Exfoliative transurethral resection of bladder tumors with bipolar plasma is a safe , practical and effective way of operation , which can avoid severe obturator reflex occurred in the operation , and greatly reduce the occurrence of bladder perforation , without TURS,surgical removal of the pathological specimens is specification .
