TRANSURETHRAL RESECTION VERSUS EN-BLOCK HO-YAG LASER ENUCLEATION FOR PAPILLARY BLADDER CANCER : PROSPECTIVE RANDOMIZED STUDY | ||||
Zagazig University Medical Journal | ||||
Article 236, Volume 27, Issue 2, March 2021, Page 203-208 PDF (300.07 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/zumj.2019.6903.1005 | ||||
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Authors | ||||
osamah saleh alkhaledi 1; ASHRAF Mohamed Shahin2; Abdellatif Abdellatif Zayed3; Ahmed Mohammed Al Sayed Eliwa 4 | ||||
1zagazig university, urolgy department | ||||
2ZAGAZIG UNIVERSITY UROLOGY DEPARTMENT | ||||
3zagazig university , urology department | ||||
4zagazig university urology department | ||||
Abstract | ||||
objectives: to compare between transurethral en-block ho-yag laser enucleation and transurethral resection for papillary bladder cancer. methods: this is a prospective randomized study, carried out at urology department, zagazig university hospitals during the period from 15/7/2017 to 15/2/2018. aimed to compare between laser en-block enucleation and monopolar tubrt for papillary bladder cancer as regard intraoperative outcomes (perforation , obturator jerk and bleeding ) and post operative outcomes ( wash time ,catheter time , hospital stay, blood transfusion ,residual ) results: we studies 52 patients randomized in two groups, group for Ho-yag laser enblock enucleation and group for monopolar TURBT. We found that Ho-Yag laser was super to TURBT in term of intraoperative complications and postoperative conclusions: Laser enucleation appear to be reliable procedure with many advantages over monopolar TURBT , despite it need longer resection time ,it reduce intraoperative complications and post operative complications , it preserve tumor histological architecture and gives better tumor staging , it allow to remove the tumor completely from it’s bed so decrease the probability of local persistence of malignant tissue and incidence of tumor recurrence . | ||||
Keywords | ||||
Ho-yag-laser; enblock; Enucleation; NMIBC | ||||
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