Rotatable Bi-Channel En Bloc Resection of Bladder Tumor for Non-Muscle-Invasive Bladder Cancer in an Ex Vivo Porcine Model
En bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and surgeon’s experience influence its application. Therefore, in this pilot study, we developed a technique called “rotatable bi-channel en bloc...
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Published in | Cancers Vol. 15; no. 17; p. 4255 |
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Abstract | En bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and surgeon’s experience influence its application. Therefore, in this pilot study, we developed a technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT)” and assessed its feasibility, efficacy, and safety compared with those of conventional ERBT. In an ex vivo porcine bladder model, 160 bladder lesions of varying morphologies (exophytic and flat) and sizes (1 and 2 cm) were created and evenly distributed across different locations. A total of 160 procedures were performed, with the ERBT and RBC-ERBT group each exhibiting 80 lesions. RBC-ERBT had a significantly higher technical success rate than ERBT (98.8% vs. 77.5%) for exophytic and flat lesions of both sizes and dome lesions. The procedure time was significantly shorter in the RBC-ERBT group, particularly for flat lesions, lesions with a 2 cm diameter, and lesions located at the dome. RBC-ERBT had a significantly lower piecemeal resection rate than ERBT (0% vs. 18.8%). The incidence of perforation or detrusor muscle sampling did not differ between the groups. Compared with conventional ERBT, RBC-ERBT offered improved success rates, reduced resection times, and effective management of challenging lesions. |
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AbstractList | En bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and surgeon’s experience influence its application. Therefore, in this pilot study, we developed a technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT)” and assessed its feasibility, efficacy, and safety compared with those of conventional ERBT. In an ex vivo porcine bladder model, 160 bladder lesions of varying morphologies (exophytic and flat) and sizes (1 and 2 cm) were created and evenly distributed across different locations. A total of 160 procedures were performed, with the ERBT and RBC-ERBT group each exhibiting 80 lesions. RBC-ERBT had a significantly higher technical success rate than ERBT (98.8% vs. 77.5%) for exophytic and flat lesions of both sizes and dome lesions. The procedure time was significantly shorter in the RBC-ERBT group, particularly for flat lesions, lesions with a 2 cm diameter, and lesions located at the dome. RBC-ERBT had a significantly lower piecemeal resection rate than ERBT (0% vs. 18.8%). The incidence of perforation or detrusor muscle sampling did not differ between the groups. Compared with conventional ERBT, RBC-ERBT offered improved success rates, reduced resection times, and effective management of challenging lesions. En bloc resection of bladder tumor (ERBT) has shown promise as a treatment option for non-muscle-invasive bladder cancer (NMIBC). However, its limitation of a single working channel restricts its application. Therefore, we developed a new surgical technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT),” which allows for adjustable traction and precise surgical maneuvers. In this study, we assessed the feasibility and outcomes of RBC-ERBT using ex vivo porcine bladder models. The results demonstrated that compared with ERBT, RBC-ERBT demonstrated improved success rates, reduced resection times, and effectively managed challenging lesions. These findings highlight the potential value of RBC-ERBT as an advanced approach for treatment of NMIBC. En bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and surgeon’s experience influence its application. Therefore, in this pilot study, we developed a technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT)” and assessed its feasibility, efficacy, and safety compared with those of conventional ERBT. In an ex vivo porcine bladder model, 160 bladder lesions of varying morphologies (exophytic and flat) and sizes (1 and 2 cm) were created and evenly distributed across different locations. A total of 160 procedures were performed, with the ERBT and RBC-ERBT group each exhibiting 80 lesions. RBC-ERBT had a significantly higher technical success rate than ERBT (98.8% vs. 77.5%) for exophytic and flat lesions of both sizes and dome lesions. The procedure time was significantly shorter in the RBC-ERBT group, particularly for flat lesions, lesions with a 2 cm diameter, and lesions located at the dome. RBC-ERBT had a significantly lower piecemeal resection rate than ERBT (0% vs. 18.8%). The incidence of perforation or detrusor muscle sampling did not differ between the groups. Compared with conventional ERBT, RBC-ERBT offered improved success rates, reduced resection times, and effective management of challenging lesions. Simple SummaryEn bloc resection of bladder tumor (ERBT) has shown promise as a treatment option for non-muscle-invasive bladder cancer (NMIBC). However, its limitation of a single working channel restricts its application. Therefore, we developed a new surgical technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT),” which allows for adjustable traction and precise surgical maneuvers. In this study, we assessed the feasibility and outcomes of RBC-ERBT using ex vivo porcine bladder models. The results demonstrated that compared with ERBT, RBC-ERBT demonstrated improved success rates, reduced resection times, and effectively managed challenging lesions. These findings highlight the potential value of RBC-ERBT as an advanced approach for treatment of NMIBC.AbstractEn bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and surgeon’s experience influence its application. Therefore, in this pilot study, we developed a technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT)” and assessed its feasibility, efficacy, and safety compared with those of conventional ERBT. In an ex vivo porcine bladder model, 160 bladder lesions of varying morphologies (exophytic and flat) and sizes (1 and 2 cm) were created and evenly distributed across different locations. A total of 160 procedures were performed, with the ERBT and RBC-ERBT group each exhibiting 80 lesions. RBC-ERBT had a significantly higher technical success rate than ERBT (98.8% vs. 77.5%) for exophytic and flat lesions of both sizes and dome lesions. The procedure time was significantly shorter in the RBC-ERBT group, particularly for flat lesions, lesions with a 2 cm diameter, and lesions located at the dome. RBC-ERBT had a significantly lower piecemeal resection rate than ERBT (0% vs. 18.8%). The incidence of perforation or detrusor muscle sampling did not differ between the groups. Compared with conventional ERBT, RBC-ERBT offered improved success rates, reduced resection times, and effective management of challenging lesions. En bloc resection of bladder tumor (ERBT) has shown promise as a treatment option for non-muscle-invasive bladder cancer (NMIBC). However, its limitation of a single working channel restricts its application. Therefore, we developed a new surgical technique called “rotatable bi-channel en bloc resection of bladder tumor (RBC-ERBT),” which allows for adjustable traction and precise surgical maneuvers. In this study, we assessed the feasibility and outcomes of RBC-ERBT using ex vivo porcine bladder models. The results demonstrated that compared with ERBT, RBC-ERBT demonstrated improved success rates, reduced resection times, and effectively managed challenging lesions. These findings highlight the potential value of RBC-ERBT as an advanced approach for treatment of NMIBC. |
Audience | Academic |
Author | Cao, Jianlong Yao, Qiu Niu, Hui Hu, Guangmo Xue, Boxin Jiang, Huizhong |
AuthorAffiliation | 1 Department of Urology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; 20194133099@stu.suda.edu.cn (Q.Y.); guangmo_hu@126.com (G.H.) 4 Department of General Surgery, Zhangjiagang Second People’s Hospital, Zhangjiagang 215633, China; jianlongcao@126.com 2 Department of Operating Room, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; huizhong_jiang2023@126.com 3 Department of Pathology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; hui_niu@yeah.net |
AuthorAffiliation_xml | – name: 4 Department of General Surgery, Zhangjiagang Second People’s Hospital, Zhangjiagang 215633, China; jianlongcao@126.com – name: 3 Department of Pathology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; hui_niu@yeah.net – name: 2 Department of Operating Room, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; huizhong_jiang2023@126.com – name: 1 Department of Urology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China; 20194133099@stu.suda.edu.cn (Q.Y.); guangmo_hu@126.com (G.H.) |
Author_xml | – sequence: 1 givenname: Qiu surname: Yao fullname: Yao, Qiu – sequence: 2 givenname: Huizhong surname: Jiang fullname: Jiang, Huizhong – sequence: 3 givenname: Hui surname: Niu fullname: Niu, Hui – sequence: 4 givenname: Guangmo surname: Hu fullname: Hu, Guangmo – sequence: 5 givenname: Jianlong surname: Cao fullname: Cao, Jianlong – sequence: 6 givenname: Boxin surname: Xue fullname: Xue, Boxin |
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Snippet | En bloc resection of bladder tumor (ERBT) is a promising alternative for non-muscle-invasive bladder cancer management. However, the tumor characteristics and... En bloc resection of bladder tumor (ERBT) has shown promise as a treatment option for non-muscle-invasive bladder cancer (NMIBC). However, its limitation of a... Simple SummaryEn bloc resection of bladder tumor (ERBT) has shown promise as a treatment option for non-muscle-invasive bladder cancer (NMIBC). However, its... |
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StartPage | 4255 |
SubjectTerms | Animal models Bladder cancer Care and treatment Comparative analysis Feasibility studies Invasiveness Lasers Lesions Morphology Surgery Surgical outcomes Tumors |
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Title | Rotatable Bi-Channel En Bloc Resection of Bladder Tumor for Non-Muscle-Invasive Bladder Cancer in an Ex Vivo Porcine Model |
URI | https://www.proquest.com/docview/2862140595 https://search.proquest.com/docview/2863294132 https://pubmed.ncbi.nlm.nih.gov/PMC10486726 |
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