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A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique

PURPOSE: Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that o...

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Autores principales: Oh, Kyung Jin, Choi, Yoo-Duk, Chung, Ho Suck, Hwang, Eu Chang, Jung, Seung Il, Kwon, Dong Deuk, Park, Kwangsung, Kang, Taek Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355434/
https://www.ncbi.nlm.nih.gov/pubmed/25763127
http://dx.doi.org/10.4111/kju.2015.56.3.227
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author Oh, Kyung Jin
Choi, Yoo-Duk
Chung, Ho Suck
Hwang, Eu Chang
Jung, Seung Il
Kwon, Dong Deuk
Park, Kwangsung
Kang, Taek Won
author_facet Oh, Kyung Jin
Choi, Yoo-Duk
Chung, Ho Suck
Hwang, Eu Chang
Jung, Seung Il
Kwon, Dong Deuk
Park, Kwangsung
Kang, Taek Won
author_sort Oh, Kyung Jin
collection PubMed
description PURPOSE: Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that of conventional TURBT. MATERIALS AND METHODS: Monopolar TURBT (24-Fr Karl Storz) was performed in 35 patients who had superficial bladder tumors. After defining the tumor margin, the tumor and surrounding mucosa were grasped by use of a loop electrode and resectoscope sheath. With tight grasping, linear moving resection was performed. The patients' demographic, intraoperative, and postoperative data were analyzed between the conventional and grasp and bite TURBT groups. RESULTS: Of 35 patients, 16 patients underwent conventional TURBT (group 1), and the other 19 patients underwent grasp and bite TURBT (group 2). Both groups were similar in age, tumor multiplicity, size, anesthesia method, and location. Grasp and bite TURBT could be performed as safely and effectively as conventional TURBT. There were no significant differences in irrigation duration, urethral catheterization, postoperative hemoglobin drop, or length of hospital stay. No significant side effects such as bladder perforation, severe obturator reflex, or persistent bleeding occurred. There were no significant pathological differences between specimens according to the type of resection technique. CONCLUSIONS: The grasp and bite TURBT technique was feasible for superficial bladder tumors. It may be a good tool for inexperienced surgeons owing to its convenient and easy manner.
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spelling pubmed-43554342015-03-11 A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique Oh, Kyung Jin Choi, Yoo-Duk Chung, Ho Suck Hwang, Eu Chang Jung, Seung Il Kwon, Dong Deuk Park, Kwangsung Kang, Taek Won Korean J Urol Original Article PURPOSE: Transurethral resection of bladder tumor (TURBT) can be a challenging procedure for an inexperienced surgeon. We suggest an easy technique for TURBT, which we have named the "grasp and bite" technique. We describe this technique and compare its effectiveness and safety with that of conventional TURBT. MATERIALS AND METHODS: Monopolar TURBT (24-Fr Karl Storz) was performed in 35 patients who had superficial bladder tumors. After defining the tumor margin, the tumor and surrounding mucosa were grasped by use of a loop electrode and resectoscope sheath. With tight grasping, linear moving resection was performed. The patients' demographic, intraoperative, and postoperative data were analyzed between the conventional and grasp and bite TURBT groups. RESULTS: Of 35 patients, 16 patients underwent conventional TURBT (group 1), and the other 19 patients underwent grasp and bite TURBT (group 2). Both groups were similar in age, tumor multiplicity, size, anesthesia method, and location. Grasp and bite TURBT could be performed as safely and effectively as conventional TURBT. There were no significant differences in irrigation duration, urethral catheterization, postoperative hemoglobin drop, or length of hospital stay. No significant side effects such as bladder perforation, severe obturator reflex, or persistent bleeding occurred. There were no significant pathological differences between specimens according to the type of resection technique. CONCLUSIONS: The grasp and bite TURBT technique was feasible for superficial bladder tumors. It may be a good tool for inexperienced surgeons owing to its convenient and easy manner. The Korean Urological Association 2015-03 2015-02-26 /pmc/articles/PMC4355434/ /pubmed/25763127 http://dx.doi.org/10.4111/kju.2015.56.3.227 Text en © The Korean Urological Association, 2015 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Oh, Kyung Jin
Choi, Yoo-Duk
Chung, Ho Suck
Hwang, Eu Chang
Jung, Seung Il
Kwon, Dong Deuk
Park, Kwangsung
Kang, Taek Won
A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title_full A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title_fullStr A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title_full_unstemmed A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title_short A novel transurethral resection technique for superficial flat bladder tumor: Grasp and bite technique
title_sort novel transurethral resection technique for superficial flat bladder tumor: grasp and bite technique
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355434/
https://www.ncbi.nlm.nih.gov/pubmed/25763127
http://dx.doi.org/10.4111/kju.2015.56.3.227
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