膀胱肿瘤整块切除术：适应证、技术和未来方向。
En bloc resection of bladder tumors: indications, techniques, and future directions.
机构信息
Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
出版信息
Curr Opin Urol. 2020 May;30(3):421-427. doi: 10.1097/MOU.0000000000000737.
PURPOSE OF REVIEW
En bloc resection of bladder tumor (ERBT) is an innovative new surgical technique, the use of which is becoming increasingly widespread. In this review, we analyze the recent literature and explore new developments, which may impact the future role of en bloc bladder surgery.
RECENT FINDINGS
ERBT increases the frequency with which detrusor muscle is present in the specimen (to 95%) and offers a significant improvement in the quality of the resection specimen, thereby helping with T1 substaging. Furthermore, the laser treatment reduces the rate of obturator nerve-related bladder perforation.
SUMMARY
ERBT represents a considerable advancement in the surgical management of nonmuscle-invasive bladder cancer. It delivers excellent oncological results and is a well tolerated procedure.
VIDEO
In the accompanying video, we shortly report the different modalities and energy sources used for bladder cancer resection. The three strategies are currently employed at the Fundació Puigvert (Barcelona). VIDEO ABSTRACT:.
目的综述
整块膀胱肿瘤切除术（ERBT）是一种创新性的新手术技术，其应用越来越广泛。在这篇综述中，我们分析了最新的文献，探讨了可能影响未来整块膀胱手术作用的新进展。
最近的发现
ERBT 增加了标本中逼尿肌存在的频率（达到 95%），并显著提高了切除标本的质量，从而有助于 T1 亚分期。此外，激光治疗降低了闭孔神经相关膀胱穿孔的发生率。
总结
ERBT 代表了非肌肉浸润性膀胱癌手术治疗的重大进展。它提供了出色的肿瘤学结果，并且是一种耐受良好的手术。
视频
在随附的视频中，我们简要介绍了用于膀胱癌切除的不同模式和能量源。目前，在 Fundació Puigvert（巴塞罗那）采用了三种策略。视频摘要：
Zotero 插件