Takeshita Hideki, Moriyama Shingo, Chiba Koji, Noro Akira
Department of Urology, Saitama Red Cross Hospital, Saitama, Japan.
Wideochir Inne Tech Maloinwazyjne. 2014 Dec;9(4):619-22. doi: 10.5114/wiitm.2014.47092. Epub 2014 Nov 25.
Air bubbles floating in the bladder dome during transurethral resection of a bladder tumor can interfere with the resection, causing intravesical explosion and increasing the potential risk of tumor cell reimplantation. We describe a simple and effective technique for evacuating air bubbles from the bladder dome using routine resectoscopes. First, the beak of the resectoscope is positioned near the air bubble in the bladder dome. Second, the drainage channel of the resectoscope is closed. Third, the irrigation tube is detached from the irrigation channel, and then the channel is opened. Subsequently, the air bubble with entangled scum will be retrogradely aspirated from the beak of the resectoscope to the irrigation channel. Reversing the direction of the water stream enables evacuation of the air bubble with the scum under direct vision. This simple and effective technique may assist surgeons and ensure the safety of patients during a transurethral procedure.
经尿道膀胱肿瘤切除术中，膀胱顶部漂浮的气泡会干扰手术切除，导致膀胱内爆炸，并增加肿瘤细胞再植入的潜在风险。我们描述了一种使用常规电切镜从膀胱顶部排出气泡的简单有效技术。首先，将电切镜的喙部置于膀胱顶部的气泡附近。其次，关闭电切镜的引流通道。第三，将冲洗管从冲洗通道上取下，然后打开通道。随后，带有缠结浮沫的气泡将从电切镜的喙部逆行吸入冲洗通道。逆转水流方向可在直视下排出带有浮沫的气泡。这种简单有效的技术可能有助于外科医生，并在经尿道手术过程中确保患者安全。
