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Bipolarna transuretralna resekcija tumora mokraćnoga mjehura


Markić, Dean; Krpina, Kristian; Oguić, Romano; Sotošek, Stanislav; Španjol, Josip; Ahel, Juraj; Rubinić, Nino; Trošelj, Marin; Maričić, Anton
Bipolarna transuretralna resekcija tumora mokraćnoga mjehura // Urology Today Congress 2014 Abstract Book
Vodice, 2014. (predavanje, domaća recenzija, sažetak, stručni)


Naslov
Bipolarna transuretralna resekcija tumora mokraćnoga mjehura
(Bipolar transurethraal resection of bladder tumours)

Autori
Markić, Dean ; Krpina, Kristian ; Oguić, Romano ; Sotošek, Stanislav ; Španjol, Josip ; Ahel, Juraj ; Rubinić, Nino ; Trošelj, Marin ; Maričić, Anton

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Urology Today Congress 2014 Abstract Book / - Vodice, 2014

Skup
Urology Today Congress 2014

Mjesto i datum
Vodice, Hrvatska, 22.05.-25.05.2014

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
Bipolarna resekcija; tumor mjehura
(Bipolar resection; bladder tumour)

Sažetak
Bladder cancer is the fourth most common noncutaneous malignancy in men with increasing incidence. Currently transurethral resection of bladder tumour (TURBT) represents the treatment of choice for low-grade, low-stage tumours. TURBT is not only a treatment for superficial bladder tumours, but is also used for the diagnostic evaluation of most bladder tumors of all stages and grades. TURBT is most commonly performed with a monopolar electrocautery resecting loop and hypotonic irrigation fluid. Recently, bipolar energy with saline irrigation has been used for transurethral resection of bladder tumours and here we report our experience with this technique. We reviewed the records of all patients with bladder tumours treated with bipolar TURBT at Department of Urology, University Hospital Rijeka in the last two years. Bipolar TURBT was performed for diagnostic and therapeutic purposes in all patients. Resected tissue was examined by a pathologist who recorded tumour stage and grade. Follow-up was from 1 to 22 months after operation. From June 1st 2012 to April 22nd 2014 we performed 81 bipolar TURBT procedures in 73 patients. The mean age of the patients was 66, 6 years (range 29-90 years). Superficial tumour was diagnosed in 75% of patients. Five patients (6, 2%) had a significant postoperative bleeding and four (4, 9%) of them need transurethral revision to achieve adequate haemostasis. Neither one patient developed TUR syndrome or urethral stricture postoperatively. Transurethral resection of bladder tumours with bipolar energy is safe and effective technique in the treatment of bladder tumours. According to our limited experience monopolar energy TURBT can be successfully replaced with bipolar energy but the higher rate of haematuria using bipolar technique need to be studied in the future.

Izvorni jezik
Hrvatski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove
Medicinski fakultet, Rijeka,
Klinički bolnički centar Rijeka