Research progress on en bloc resection of bladder tumor:surgical techniques and pathological assessment
10.3969/j.issn.1009-8291.2025.08.014
- VernacularTitle:膀胱肿瘤整块切除术手术技术与病理评估的研究进展
- Author:
Zihan HAO
1
;
Ning JIANG
1
;
Rong YANG
1
;
Hongqian GUO
1
Author Information
1. 南京大学医学院附属鼓楼医院泌尿外科,江苏南京 210008
- Publication Type:Journal Article
- Keywords:
en bloc resection of bladder tumor;
transurethral resection of bladder tumor;
bladder cancer;
surgical techniques;
pathology
- From:
Journal of Modern Urology
2025;30(8):716-722
- CountryChina
- Language:Chinese
-
Abstract:
En bloc resection of bladder tumor(ERBT),as an innovative procedure for conventional transurethral resection of bladder tumor(cTURBT),has become an important treatment option for non-muscle invasive bladder cancer(NMIBC).Although ERBT has been recommended by international guidelines,its technical standardization,verification of long-term survival benefits and stratification of indications are still the focus of future research.This article first provides an overview of the surgical techniques of ERBT,and then elaborates on the advantages and disadvantages of the three energy sources of ERBT,namely,electrocautery,laser,and Hybridknife.In terms of pathological assessment,current research suggests that the detection of detrusor muscle in surgical specimens can reflect the quality of the surgery.The integrity of pathological specimens and diagnostic consistency have promoted the progress of sub-staging of T1 bladder cancer and have also driven more research on microscopic indicators related to prognosis.Finally,this article reviews whether repeated transurethral resection can be avoided to help optimize individualized treatment for bladder tumor.
