Journals / Üroonkoloji Bülteni / 2019 / Cilt: 18 - Sayı: 2

Transurethral Resection of the Bladder Tumor Success Rates of Surgeons and Possible Causes of Differences Between Locals and Refugees

Pages
51–54
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When all the cases were taken into consideration, it was found that the surgeons had significantly higher rates of detrusor muscle sampling in refugees compared to locals (p=0.006).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In our study, we examined the success rates of our surgeons and the criteria that define the success, and tried to reveal the possible causes of the differences in the success rates of transurethral resection of the bladder tumor (TUR-BT) in locals and refugees.
📊
Key Findings & Data:Materials and Methods: Between 2014 and 2018, 246 patients who underwent TUR-BT for the first time due to bladder tumor were evaluated retrospectively.
💡
Conclusion & Impact:When all the cases were taken into consideration, it was found that the surgeons had significantly higher rates of detrusor muscle sampling in refugees compared to locals (p=0.006).
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Objective: In our study, we examined the success rates of our surgeons and the criteria that define the success, and tried to reveal the possible causes of the differences in the success rates of transurethral resection of the bladder tumor (TUR-BT) in locals and refugees. Materials and Methods: Between 2014 and 2018, 246 patients who underwent TUR-BT for the first time due to bladder tumor were evaluated retrospectively. Patients with urothelial carcinoma were included in the study. The patients were classified as muscle-invasive or non-muscle-invasive bladder cancer according to the stage, and as detrusor muscle positive and negative according to the pathology results. The patients were divided into two groups as locals and refugees. The surgeons were coded with numbers. Results: The number of patients with positive detrusor muscle was 85 (52.1%) in locals and 55 (66%) in refugees. When all the cases were taken into consideration, it was found that the surgeons had significantly higher rates of detrusor muscle sampling in refugees compared to locals (p=0.006). Conclusion: Our study suggests that the quality of the bladder tumor resection can be measured by the success or failure in sampling of the detrusor muscle in the first TUR-BT where the tumor is completely resected. The success rates of surgeons were higher in refugees. Despite the fact that they are the same group of patients, surgical treatment of the refugees without surgical stress seems to be the possible reason for being more successful.

🔖

Cite This Article

TOKSÖZ, S. (2019). Transurethral Resection of the Bladder Tumor Success Rates of Surgeons and Possible Causes of Differences Between Locals and Refugees. Üroonkoloji Bülteni, Cilt: 18 - Sayı: 2, 51–54. https://ajindex.com/articles/334378

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Kassouf W, Traboulsi SL, Kulkarni GS, et al. CUA guidelines on the management of non-muscle invasive bladder Cancer. Can Urol Assoc J 2015;9(9-10):E690-704
  2. Rolevich A, Alexander Minich, Tatiana Nabebina et al. Surgeon has a major impact on long-term recurrence risk in patients with non-muscle invasive bladder cancer. Cent European J Urol 2016;69:170-177
  3. Sylvester RJ, van der Meijden AP, Oosterlinck W, Witjes JA et a.l Predicting recurrence and progression in individual patients with stage Ta T1 bladder cancerusing EORTC risk tables: a combined analysis of 2596 patients from seven EORTC trials. Eur Urol 2006;49:466-5;475-457
  4. Sexton WJ, Wiegand LR, Correa JJ, Politis C, Dickinson SI, Kang LC et al. Bladder cancer: a review of non-muscle invasive disease. Cancer Control 2010;17:256-268
  5. Mariappan P, Smith G, Lamb ADG, Grigor KM, Tolley DA. Pattern of recurrence changes in noninvasive bladder tumours observed during 2 decades. J Urol 2007;77: 867-875
  6. Ataus S. Yüzeyel mesane tümorlerinde Re- TUR. Uroonkoloji Bulteni 2003;2:13-16
  7. Babjuk M. Transurethral resection of non-muscle invasive bladder cancer. Eur Urol Suppl 2009;8:542-548 8. Gökce Mİ, Bedük Y. Kasa İnvaze Olmayan Mesane Kanserinde Transüretral Mesane Kanseri Rezeksiyonu (TUR-mt): Nasıl Mükemmelliğe Ulaşılabilinir? Üroonkoloji Bülteni 2014;13:88-92
  8. Babjuk M, Burger M, Zigeuner R, et al. EAU guidelines on nonmuscle-invasive urothelial carcinoma of the bladder: update 2013. Eur Urol. 2013; 64:639-653
  9. Herr HW, Donat MS. Quality control in transurethral resection of bladder tumors. BJU Int 2008;102:1242-1246
  10. Mariappan P, Zachou A, Grigor KM. Detrusor muscle in the first transurethral resection of bladder tumour (TURBT) specimen is a surrogate marker of resection quality and is dependant on operatör experience. Eur Urol Suppl 2008;7:299 [doi: 10.1016/ S1569-9056(08)60911-2]
  11. Herr HW. Role of Repeat Resection in Non-Muscle-Invasive Bladder Cancer. J Natl Compr Canc Netw 2015;13:1041-1046
  12. Del Zingaro M, Bruno R, Nunzi E, et al. First and second transurethral resections in intermediate-high risk bladder cancer: impact of the surgeon’s volume on the recurrence and progression of primary bladder cancer. Minerva Urol Nefrol. 2016;68:194-203
  13. Thomas K, O’Brien T. Improving Transurethral Resection of Bladder Tumour: The Gold Standard for Diagnosis and Treatment of Bladder Tumours. Eur Urol Suppl 2008;7:524-528
  14. Brausi M, Collette L, Kurth K, et al. Variability