Chen Wen Ming, Cheng Chen Li, Yang Chi Rei, Chung Vernoryn
Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.
Urology. 2008 Sep;72(3):667-8. doi: 10.1016/j.urology.2008.04.042. Epub 2008 Jul 2.
Transurethral resection of bladder tumors is performed for the treatment of bladder cancer. We describe our surgical technique for transurethral resection of bladder tumors. It is easy to control the tissue depth of resection using the lateral resecting portion of the conventional right-angle loop electrode.
Since April 2006, we have performed this technique on 57 consecutive lesions in 37 patients. The surgeon rotates the resectoscope and uses the lateral resecting portion of the right-angle loop electrode to control the tissue depth during transurethral resection. The tissue depth of resection can be precisely controlled by the surgeon using this technique. No bladder perforation or uncontrollable bleeding was observed.
The described surgical tip is a safe technique to prevent bladder perforation during transurethral resection of bladder tumors.
经尿道膀胱肿瘤切除术用于治疗膀胱癌。我们描述了经尿道膀胱肿瘤切除术的手术技术。使用传统直角环形电极的侧向切除部分易于控制切除的组织深度。
自2006年4月以来，我们对37例患者的57个连续病变采用了该技术。在经尿道切除过程中，外科医生旋转电切镜并使用直角环形电极的侧向切除部分来控制组织深度。外科医生使用该技术可精确控制切除的组织深度。未观察到膀胱穿孔或无法控制的出血。
所描述的手术技巧是经尿道膀胱肿瘤切除术中预防膀胱穿孔的一种安全技术。
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