Clinical efficiency of transurethral non-muscle invasive resection or electrocautery of bladder tumor under local anesthesia

VernacularTitle:局部麻醉经尿道非肌层浸润性膀胱肿瘤电切或电灼的疗效观察
Author: Chen SHEN ; Yang YU ; Wei WANG ; Bo YANG
Publication Type:Journal Article
Keywords: Non-muscle invasive bladder cancer; Anesthesia,local; Transurethral resection of bladder tumor
From: Chinese Journal of Postgraduates of Medicine 2016;39(11):995-998
CountryChina
Language:Chinese
Abstract: Objiective To assess the feasibility of transurethral non-muscle invasive resection or electrocautery of bladder tumor (TURBT) under local anesthesia. Methods Ten patients with non-muscle invasive bladder cancer (NMIBC) history, who were confirmed NMIBC relapse by imaging and cystoscopy were selectively implemented TURBT or electrocautery under local anesthesia. Patients′anesthesia and tolerance under different local anesthesia were observed. Results All surgeries were completed successfully with clear base and without residual tumor. Tumor tissues were pathologically confirmed NMIBC. Patients were well tolerated to local anesthesia. The situation of pain scores were 0 point in 2 cases, 1 point in 4 cases, 2 points in 3 cases and 3 points in 1 case. Conclusions For NMIBC patients with poor surgery tolerance and high anesthetic risk and on the basis of low pressure on the bladder, selectively implementing TURBT or electrocautery under sufficient urethral anesthesia is feasible from the perspective of cancer cure and patients′tolerance.