Technical details and optimization of transurethral resection of bladder tumors
10.3760/cma.j.cn112330-112330-20240426-00198
- VernacularTitle:经尿道膀胱肿瘤切除术的技术细节与优化
- Author:
Yige BAO
1
;
Qiang WEI
Author Information
1. 四川大学华西医院泌尿外科 四川大学华西医院泌尿外科研究所，成都 610041
- Keywords:
Urinary bladder neoplasms;
Non-muscle invasive bladder cancer;
Transurethral resection of bladder tumor (TURBT);
En bloc resection;
Restaging TURBT
- From:
Chinese Journal of Urology
2024;45(5):331-334
- CountryChina
- Language:Chinese
-
Abstract:
The article examines the critical technical aspects and optimization of transurethral resection of bladder tumor (TURBT) for treating non-muscle invasive bladder cancer (NMIBC). It emphasizes the complexity of TURBT beyond common surgical understanding, highlighting the necessity for complete tumor resection to reduce recurrence and the importance of high-quality specimens for accurate pathological assessment. The surgeon's experience is crucial for successful outcomes, with lower recurrence rates observed by more seasoned practitioners. The paper advocates for the en bloc resection technique to minimize tumor dissemination and enhance specimen quality. Accurate staging and the judicious application of secondary TURBT are also discussed, with a focus on achieving comprehensive tumor removal during the initial surgery to inform subsequent treatment and improve patient prognosis.
