title: EFFICACY OF DIFFERENT RESECTIONS ON NON-MUSCLE-INVASIVE BLADDER CANCER AND ANALYSIS OF THE OPTIMAL SURGICAL METHOD.
abstract: This study aimed to analyze the clinical efficacy of different resections in treating non-muscle-invasive bladder cancer (NMIBC), including partial cystectomy, transurethral resection of bladder tumor (TURBT) and holmium laser resection of bladder tumor. Two hundred and sixteen patients were recruited with NMIBC who were available for follow-up visits in hospital, including 62 cases treated with partial cystectomy, 90 cases treated with TURBT and 64 cases with holmium laser resection. Analysis was made on the cases with tumor relapse in the two years, on operation time, blood loss, time for indwelling urinary catheter, hospital stay and complications after operation. Results were compared to the clinical efficacy of these operation patterns. It was found that the two-year relapse rate for TURBT group, partial cystectomy group and Holmium laser resection group was 41%, 31%, and 33% respectively, and the difference had no statistical significance (p>0.05). Both the TURBT group and holmium laser resection group had shorter operation time, hospital stay and time for indwelling urinary catheter as well as much less blood loss when compared with the partial cystectomy group; the difference had statistical significance (p<0.001). In terms of complications, the TURBT group was likely to induce obturator nerve reflex and bladder perforation while the partial cystectomy group was likely to induce bladder spasm. Therefore, this study presumes that holmium laser resection and TURBT are much safer and quicker for recovery and obviously superior to the partial cystectomy.
authors.affiliation: Department of Urology, the General Hospital of the Chinese Peoples Liberation Army, Haidian, Beijing, China.
authors.forename: G F
authors.initials: GF
authors.lastname: Chen
authors.affiliation: Department of Urology, the General Hospital of the Chinese Peoples Liberation Army, Haidian, Beijing, China.
authors.forename: T P
authors.initials: TP
authors.lastname: Shi
authors.affiliation: Department of Urology, the General Hospital of the Chinese Peoples Liberation Army, Haidian, Beijing, China.
authors.forename: B J
authors.initials: BJ
authors.lastname: Wang
authors.affiliation: Department of Urology, the General Hospital of the Chinese Peoples Liberation Army, Haidian, Beijing, China.
authors.forename: X Y
authors.initials: XY
authors.lastname: Wang
authors.affiliation: Department of Urology, the General Hospital of the Chinese Peoples Liberation Army, Haidian, Beijing, China.
authors.forename: Q
authors.initials: Q
authors.lastname: Zang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D002295:Carcinoma, Transitional Cell / Q000473:pathology / Q000601:surgery*; D015653:Cystectomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009130:Muscle, Smooth / Q000473:pathology; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D009776:Obturator Nerve / Q000293:injuries; D061646:Operative Time; D010212:Papilloma / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013035:Spasm / Q000453:epidemiology / Q000209:etiology; D014521:Urethra; D001743:Urinary Bladder / Q000293:injuries; D001749:Urinary Bladder Neoplasms / Q000473:pathology / Q000601:surgery*; D014546:Urinary Catheterization; D055815:Young Adult