Release Date: 2024-05-28

Techniques in Endoscopic Resection of Bladder Cancer

Ozgur Arikan (Author)

Release Date: 2024-05-28

In this seciton we reviewed transurethral resection of bladder tumors (TURBT) which is a common procedure to diagnose and treat bladder cancer. There are two main approaches: conventional TURBT with piecemeal resection and en bloc resection (ERBT). ERBT removes the entire tumor in one piece, potentially reducing recurrence rates and improving pathological assessment. Studies suggest [...]

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Work TypeBook Chapter
Published inCurrent Management of Non-Muscle Invasive Bladder Cancer
First Page77
Last Page87
DOIhttps://doi.org/10.69860/nobel.9786053359197.6
ISBN978-605-335-919-7 (PDF)
LanguageENG
Page Count11
Copyright HolderNobel Tıp Kitabevleri
Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing

In this seciton we reviewed transurethral resection of bladder tumors (TURBT) which is a common procedure to diagnose and treat bladder cancer. There are two main approaches: conventional TURBT with piecemeal resection and en bloc resection (ERBT). ERBT removes the entire tumor in one piece, potentially reducing recurrence rates and improving pathological assessment. Studies suggest ERBT may be safe and effective, with benefits like higher detrusor muscle inclusion and clear resection margins. However, larger tumor size can hinder its success. More research is needed to determine the best energy sources (monopolar, bipolar, laser) for ERBT.

Ozgur Arikan (Author)
Istanbul Medeniyet University
https://orcid.org/0000-0002-4647-4864
3Ozgür Arıkan has contributed to numerous scientific studies, book chapters and academic duties with over ten years of experience as a urologist in various institutions. He did his thesis on non-muscle invasive bladder tumors. He currently continues his studies at Istanbul Medeniyet University, Department of Urology.

  • 1. Teoh JY, D’Andrea D, Gallioli A, Yanagisawa T, MacLennan S, Nicoletti R, et al. En bloc resection of bladder tumor: the rebirth of past through reminiscence. World J Urol. 2023 Oct;41(10):2599-2606.

  • 2. Brausi M, Collette L, Kurth K, van der Meijden AP, Oosterlinck W, Witjes JA, et al. Group EG-UTCC. Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta T1 transitional cell carcinoma of the bladder: a combined analysis of seven EORTC studies. Eur Urol. 2002;41(5):523–31.

  • 3. Konishi T, Washino S, Nakamura Y, Ohshima M, Saito K, Arai Y, et al. Risks and complications of transurethral resection of bladder tumors in patients receiving antiplatelet and/or anticoagulant therapy: a retrospective cohort study. BMC Urol. 2017 Dec 12;17(1):118.

  • 4. Lightner DJ, Wymer K, Sanchez J, Kavoussi L. Best Practice Statement on Urologic Procedures and Antimicrobial Prophylaxis. J Urol. 2020 Feb;203(2):351-356.

  • 5. Ivan SJ, Sindhwani P. Comparison of guideline recommendations for antimicrobial prophylaxis in urologic procedures: variability, lack of consensus, and contradictions. Int Urol Nephrol. 2018 Nov;50(11):1923-1937.

  • 6. Wu J, Gao Y, Xiong Z, Xiao X, Yang J, Yang X, et al. Comparison of different methods of obturator nerve block in transurethral resection of bladder tumors: A systematic review and network meta-analysis. Cancer Med. 2023 Mar;12(5):5420- 5435.

  • 7. Yuen-Chun Teoh J, Cheng CH, Tsang CF, Kai-Man Li J, Kwun-Chung Cheng B, Hoi-Chak Chan W, et al. EB-StaR Study Group. Transurethral En Bloc Resection Versus Standard Resection of Bladder Tumor: A Randomised, Multicentre, Phase 3 Trial. Eur Urol. 2024 Apr 30:S0302-2838(24)02321-2.

  • 8. Tzelves L, Mourmouris P, Skolarikos A. Does bipolar energy provide any advantage over monopolar surgery in transurethral resection of non-muscle invasive bladder tumors? A systematic review and meta-analysis. World J Urol. 2021 Apr;39(4):1093-1105.

  • 9. Kitamura K, Kataoka K, Fujioka H, Kashiwai K Transurethral resection of a bladder tumor by the use of a polypectomy snare. J Urol 1980 124(6):808–809

  • 10. Croghan SM, Compton N, Manecksha RP, Cullen IM, Daly PJ. En bloc transurethral resection of bladder tumors: A review of current techniques. Can Urol Assoc J. 2022 May;16(5):E287-E293.

  • 11. Kramer MW, Rassweiler JJ, Klein J, Martov A, Baykov N, Lusuardi L, et al. En bloc resection of urothelium carcinoma of the bladder (EBRUC): a European multicenter study to compare safety, efficacy, and outcome of laser and electrical en bloc transurethral resection of bladder tumor. World J Urol 2015, 33(12):1937–1943.

  • 12. Teoh JY, Mayor N, Li KM, Lo KL, Ng CF, Mostafid H Enbloc resection of bladder tumor as primary treatment for patients with non-muscle-invasive bladder cancer: routine implementation in a multi-centre setting. World J Urol 2021, 39(9):3353– 3358.

  • 13. Gallioli A, Diana P, Fontana M, Territo A, Rodriguez-Faba Ó, Gaya JM, et al. En bloc versus conventional transurethral resection of bladder tumors: a single-center prospective randomized noninferiority trial. Eur Urol Oncol 2022;5:440–8.

  • 14. D’Andrea D, Soria F, Hurle R, Enikeev D, Kotov S, Régnier S, et al. eBLOC Study Team. En Bloc Versus Conventional Resection of Primary Bladder Tumor (eBLOC): A Prospective, Multicenter, Open-label, Phase 3 Randomized Controlled Trial. Eur Urol Oncol. 2023 Oct;6(5):508-515.

  • 15. Yanagisawa T, Mori K, Motlagh RS, Kawada T, Mostafaei H, Quhal F, et al. En bloc resection for bladder tumors: an updated systematic review and meta-analysis of its differential effect on safety. Recur Histopathol J Urol 2022, 207(4):754–768.

  • 16. Sun S, Wang H, Zhang X, Chen G. Transurethral Resection of Bladder Tumor: Novel Techniques in a New Era. Bladder (San Franc). 2023 Nov 9;10:e21200009.

  • 17. Gregg JR, McCormick B, Wang L, Cohen P, Sun D, Penson DF, et al. Short term complications from transurethral resection of bladder tumor. Can J Urol. 2016 Apr;23(2):8198-203.

  • 18. Herkommer K, Hofer C, Gschwend JE, Kron M, Treiber U. Gender and body mass index as risk factors for bladder perforation during primary transurethral resection of bladder tumors. J Urol. 2012 May;187(5):1566-70.

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