Pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope
To describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope. An 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient's urethra was too s...
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Published in | Journal of pediatric urology Vol. 16; no. 5; pp. 727 - 728 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Elsevier Ltd
01.10.2020
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Abstract | To describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope.
An 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient's urethra was too small to use a pediatric resectoscope, making it impossible to perform a transurethral resection of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed. En-bloc resection was performed successfully using 3 mm laparoscopic instruments, and the tumor was safely retrieved within an endo-bag made with a surgical glove.
On postoperative day 1, the Foley catheter was removed and the patient was discharged. The pathology report described bladder papillary urothelial carcinoma, grade II/III without lamina propria invasion. The patient underwent follow-up with ultrasonography and urine cytology every three to six months. There was no recurrence for 21 months after surgery.
This video demonstrates a pneumovesicoscopic approach for the treatment of bladder tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic bladder tumor resection is technically feasible and safe. |
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AbstractList | OBJECTIVETo describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope. METHODSAn 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient's urethra was too small to use a pediatric resectoscope, making it impossible to perform a transurethral resection of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed. En-bloc resection was performed successfully using 3 mm laparoscopic instruments, and the tumor was safely retrieved within an endo-bag made with a surgical glove. RESULTSOn postoperative day 1, the Foley catheter was removed and the patient was discharged. The pathology report described bladder papillary urothelial carcinoma, grade II/III without lamina propria invasion. The patient underwent follow-up with ultrasonography and urine cytology every three to six months. There was no recurrence for 21 months after surgery. CONCLUSIONThis video demonstrates a pneumovesicoscopic approach for the treatment of bladder tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic bladder tumor resection is technically feasible and safe. To describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope. An 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient's urethra was too small to use a pediatric resectoscope, making it impossible to perform a transurethral resection of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed. En-bloc resection was performed successfully using 3 mm laparoscopic instruments, and the tumor was safely retrieved within an endo-bag made with a surgical glove. On postoperative day 1, the Foley catheter was removed and the patient was discharged. The pathology report described bladder papillary urothelial carcinoma, grade II/III without lamina propria invasion. The patient underwent follow-up with ultrasonography and urine cytology every three to six months. There was no recurrence for 21 months after surgery. This video demonstrates a pneumovesicoscopic approach for the treatment of bladder tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic bladder tumor resection is technically feasible and safe. |
Author | Baek, Minki Kim, Jungyu Yu, Jiwoong |
Author_xml | – sequence: 1 givenname: Jiwoong surname: Yu fullname: Yu, Jiwoong – sequence: 2 givenname: Jungyu surname: Kim fullname: Kim, Jungyu – sequence: 3 givenname: Minki surname: Baek fullname: Baek, Minki email: minki.baek@samsung.com |
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Cites_doi | 10.1089/end.2010.0437 10.3346/jkms.2018.33.e242 10.1016/j.jpurol.2009.03.012 10.1111/j.1464-410X.2010.10057.x 10.1016/j.jpurol.2014.08.008 |
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References | Mak, Ng, Chan, Yip, Cheng, Wong (bib4) 2011; 25 Kim, Park, Song, Kim, Park (bib1) 2018; 33 Valla, Steyaert, Griffin, Lauron, Fragoso, Arnaud (bib2) 2009; 5 Berrettini, Castagnetti, Salerno, Nappo, Manzoni, Rigamonti (bib5) 2015; 11 Zou, Zhang, Wang, Yuan, Xiao, Wu (bib3) 2011; 108 Berrettini (10.1016/j.jpurol.2020.08.026_bib5) 2015; 11 Zou (10.1016/j.jpurol.2020.08.026_bib3) 2011; 108 Mak (10.1016/j.jpurol.2020.08.026_bib4) 2011; 25 Kim (10.1016/j.jpurol.2020.08.026_bib1) 2018; 33 Valla (10.1016/j.jpurol.2020.08.026_bib2) 2009; 5 |
References_xml | – volume: 11 start-page: 26 year: 2015 ident: bib5 article-title: Bladder urothelial neoplasms in pediatric age: experience at three tertiary centers publication-title: J Pediatr Urol contributor: fullname: Rigamonti – volume: 25 start-page: 611 year: 2011 end-page: 614 ident: bib4 article-title: Pneumovesicum approach to en-bloc laparoscopic nephroureterectomy with bladder cuff excision for upper tract urothelial cancer: midterm oncological results publication-title: J Endourol contributor: fullname: Wong – volume: 33 start-page: e242 year: 2018 ident: bib1 article-title: Clinicopathological characteristics of urinary bladder tumors in Korean patients 20 Years or younger publication-title: J Kor Med Sci contributor: fullname: Park – volume: 5 start-page: 466 year: 2009 end-page: 471 ident: bib2 article-title: Transvesicoscopic Cohen ureteric reimplantation for vesicoureteral reflux in children: a single-centre 5-year experience publication-title: J Pediatr Urol contributor: fullname: Arnaud – volume: 108 start-page: 1497 year: 2011 end-page: 1500 ident: bib3 article-title: A one-port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma publication-title: BJU Int contributor: fullname: Wu – volume: 25 start-page: 611 year: 2011 ident: 10.1016/j.jpurol.2020.08.026_bib4 article-title: Pneumovesicum approach to en-bloc laparoscopic nephroureterectomy with bladder cuff excision for upper tract urothelial cancer: midterm oncological results publication-title: J Endourol doi: 10.1089/end.2010.0437 contributor: fullname: Mak – volume: 33 start-page: e242 year: 2018 ident: 10.1016/j.jpurol.2020.08.026_bib1 article-title: Clinicopathological characteristics of urinary bladder tumors in Korean patients 20 Years or younger publication-title: J Kor Med Sci doi: 10.3346/jkms.2018.33.e242 contributor: fullname: Kim – volume: 5 start-page: 466 year: 2009 ident: 10.1016/j.jpurol.2020.08.026_bib2 article-title: Transvesicoscopic Cohen ureteric reimplantation for vesicoureteral reflux in children: a single-centre 5-year experience publication-title: J Pediatr Urol doi: 10.1016/j.jpurol.2009.03.012 contributor: fullname: Valla – volume: 108 start-page: 1497 year: 2011 ident: 10.1016/j.jpurol.2020.08.026_bib3 article-title: A one-port pneumovesicum method in en bloc laparoscopic nephroureterectomy with bladder cuff resection is feasible and safe for upper tract transitional cell carcinoma publication-title: BJU Int doi: 10.1111/j.1464-410X.2010.10057.x contributor: fullname: Zou – volume: 11 start-page: 26 year: 2015 ident: 10.1016/j.jpurol.2020.08.026_bib5 article-title: Bladder urothelial neoplasms in pediatric age: experience at three tertiary centers publication-title: J Pediatr Urol doi: 10.1016/j.jpurol.2014.08.008 contributor: fullname: Berrettini |
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