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- Title
Feasibility of Novel Technique of Flexible Cystoscopic En Bloc Snare Resection of Bladder Tumor: f-ESRBT.
- Authors
Matsukawa, Akihiro; Kimura, Shoji; Koike, Yuhei; Ajisaka, Shino; Aikawa, Koichi; Obayashi, Koki; Yanagisawa, Takafumi; Kimura, Takahiro; Miki, Jun
- Abstract
Background: En bloc resection of bladder tumors (ERBT) has been used as a treatment option to improve pathologic diagnostic accuracy in non-muscle invasive bladder cancer. We report on the feasibility of a novel ERBT technique using an electrosurgical snare with flexible cystoscope: flexible cystoscopic En bloc Snare Resection of Bladder Tumor (f-ESRBT). Methods: We used the electrosurgical snare to resect a superficial bladder tumor after injection of 50% glucose in the submucosa at the tumor base. We collected each resected tumor with a basket catheter and coagulated the resected area with a coagulation electrode. A flexible cystoscope was used for all procedures. Results/Discussion: We performed 10 operations. Mean tumor size was 10.2 ± 7.3 mm and mean surgery time was 13.8 ± 6.8 minutes. All procedures were performed without complications. Results showed f-ESRBT to be simple and minimally invasive and to enable accurate pathologic diagnoses. Conclusion: f-ESRBT is a feasible treatment option for small and non-muscle invasive bladder cancer.
- Subjects
BLADDER cancer; NON-muscle invasive bladder cancer; TUMOR surgery; ELECTROSURGERY
- Publication
Journal of Endourology, 2023, Vol 37, Issue 6, p713
- ISSN
0892-7790
- Publication type
Article
- DOI
10.1089/end.2022.0686