En bloc transurethral resection of bladder lesions: a trick to retrieve specimens up to 4.5 cm

被引:39
作者
Naselli, Angelo [1 ]
Introini, Carlo [1 ]
Germinale, Francesco [1 ]
Spina, Bruno [2 ]
Puppo, Paolo [1 ]
机构
[1] Natl Inst Canc Res, Dept Urol, Genoa, Italy
[2] Natl Inst Canc Res, Dept Pathol, Genoa, Italy
关键词
TUMORS;
D O I
10.1111/j.1464-410X.2012.10982.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The present technique maintains the integrity of voluminous lesions during extraction. Pathological analysis is consequently improved and a proper evaluation of the surgical margins is also possible. Papillary lesions of up to 4.5 cm are amenable to en bloc resection and extraction, while solid lesions comply less well with the urethra and sometimes are very diffi cult to extract. Nevertheless, the main limitation of the technique remains that lesions originating from the bladder neck are not amenable to en bloc resection, while particular attention should be paid during resection of lesions involving the ureteric orifi ce to avoid ureteric stripping. © 2011 BJU INTERNATIONAL.
引用
收藏
页码:960 / 963
页数:4
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