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Comparison of the Karl Storz and Olympus Bipolar Resection Systems in Bladder Tumor Resection

Yıl 2023, Cilt: 20 Sayı: 2, 321 - 325, 31.08.2023

Süleyman Sağır İzzettin Toktaş

https://doi.org/10.35440/hutfd.1329390

Öz

Background: In this study, we aimed to compare the perioperative outcomes and complications of Olympus and Karl Storz bipolar transurethral bladder resection in the treatment of bladder tumors in non-invasive bladder cancer patients.
Materials and Methods: After obtaining approval from the Ethics Committee (Decision No. 2023/5-17), all patients who underwent transurethral bladder tumor resection using Olympus and Karl Storz bipolar sys-tems between January 01, 2019 and February 28, 2023 were evaluated. The demographic data of the patients, transfusion requirement, tumor size, and perioperative complications were compared.
Results: It was observed that out of the 75 patients included in the study, 45 were operated on with Olym-pus, and 30 were operated on with Karl Storz. In the Olympus group, the change in hemoglobin (hgb) was found to be 1.11±0.61 gr/dl, while in the Karl Storz group, it was 1.35±0.82 gr/dl, and no statistically signifi-cant difference was observed (p= 0.180). Tumor size was 3.20±1.55 cm in the Olympus group and 4.20±2.79 cm in the Karl Storz group. Similarly, no statistically significant differences were found between the two groups in terms of obturator reflex, presence of bladder perforation, blood transfusion, and post-operative clot retention.
Conclusions: The use of both bipolar systems' technology is safe and effective in the transurethral resection of non-invasive bladder cancer.

Key Words: Bladder tumor, Transurethral resection, Bipolar energy, Complication

Kaynakça

  • 1. Burger M, Catto JW, Dalbagni G, Grossman HB, Herr H, Kara-kiewicz P et al. Epidemiology and risk factors of urothelial bladder cancer. Eur Urol. 2013;63(2):234–41.
  • 2. Kiriluk KJ, Prasad SM, Patel AR, Steinberg GD, Smith ND. Bladder cancer risk from occupational and environmental exposures. Urol Oncol. 2012;30(2):199–211.
  • 3. Mashni J, Godoy G, Haarer C, Dalbagni G, Reuter VE, Al- Ahmadie H, et al. Prospective evaluation of plasma kinetic bipolar resection of bladder cancer: comparison to monopo-lar resection and pathologic findings. Int Urol Nephrol. 2014;46(9):1699–705.
  • 4. Pu XY, Wang HP, Wu YL, Wang XH. Use of bipolar energy for transurethral resection of superficial bladder tumors: long-term results. J Endourol. 2008; 22(3): 545–9.
  • 5. Zhao C, Tang K, Yang H, Xia D, Chen Z. Bipolar versus mono-polar transurethral resection of nonmuscle-invasive bladder cancer: a meta-analysis. J Endourol. 2016; 30(1): 5–12
  • 6. Rassweiler J, Schulze M, Stock C, Teber D, De La Rosette J. Bipolar transurethral resection of the prostate: technical modifications and early clinical experience. Minim Invasive Ther Allied Technol. 2007; 16(1): 11–21.
  • 7. Kaynar M, Celik ZE, Altintas E, Batur AF, Kilic O, Akand M, et al. Comparison of Two Different Bipolar Energy Resources in Transurethral Resection of Bladder Tumors. Urol Int. 2021;105(3-4):304-308.
  • 8. Puppo P, Bertolotto F, Introini C, Germinale F, Timossi L, Naselli A. Bipolar transurethral resection in saline (TURis): Outcome and complication rates after the first 1000 cases. J Endourol. 2009;23(7):1145–1149.
  • 9. Arya M, Shergill IS, Kalsi JS, Muneer A, Mundy AP: Viva practice for the FRCS (Urol) examination. London, Radcliffe Publishing, 2010.
  • 10. Venkatramani V, Panda A, Manojkumar R, Kekre NS. Mono-polar versus bipolar transurethral resection of bladder tu-mors: A single center, parallel arm, randomized, controlled trial. J Urol. 2014;191(6):1703–1707.
  • 11. Michielsen DP, Coomans D, Braeckman JG, Umbrain V. Bipolar transurethral resection in saline: The solution to av-oid hyponatraemia and transurethral resection syndrome. Scand J Urol Nephrol 2010;44(4):228–235.
  • 12. Bolat D, Gunlusoy B, Degirmenci T, Ceylan Y, Polat S, Aydin E, et al. Comparing the short-term outcomes and complicati-ons of monopolar and bipolar transurethral resection of non-muscle invasive bladder cancers: a prospective, rando-mized, controlled study. Arch Esp Urol. 2016; 69(5): 225–33.
  • 13. Sugihara T, Yasunaga H, Horiguchi H, Matsui H, Nishimatsu H, Nakagawa T, et al. Comparison of perioperative outcomes including severe bladder injury between monopolar and bi-polar transurethral resection of bladder tumors: a popula-tion based comparison. J Urol. 2014; 192(5): 1355–9.
  • 14. Xishuang S, Deyong Y, Xiangyu C, Tao J, Quanlin L, Hongwei G, et al. Comparing the safety and efficiency of conventional monopolar, plasmakinetic, and holmium laser transurethral resection of primary non-muscle invasive bladder cancer. J Endourol. 2010; 24(1): 69–73.
  • 15. Anagnostopoulou S, Kostopanagiotou G, Paraskeuopoulos T, Chantzi C, Lolis E, Saranteas T. Anatomic variations of the obturator nerve in the inguinal region: implications in con-ventional and ultrasound regional anesthesia techniques. Reg Anesth Pain Med. 2009; 34(1): 33–9.
  • 16. Panagoda PI, Vasdev N, Gowrie-Mohan S. Avoiding the obturator Jerk during TURBT. Curr Urol. 2018; 12(1): 1–5.
  • 17. Bus MT, Cordeiro ER, Anastasiadis A, Klioueva NM, de la Rosette JJ, de Reijke TM. Urothelial carcinoma in both ad-nexa following perforation during transurethral resection of a non-muscle-invasive bladder tumor: a case report and lite-rature review. Expert Rev Anticancer Ther. 2012; 12(12): 1529–36.
  • 18. Cusano A, Murphy G, Haddock P, Wagner J. Tumour see-ding as a result of intraperitoneal perforation during transu-rethral resection of non-muscle invasive bladder cancer. BMJ Case Rep. 2014; 2014: bcr2014206631.
  • 19. Nieder AM, Meinbach DS, Kim SS, Soloway MS. Transureth-ral bladder tumor resection: Intraoperative and postoperati-ve complications in a residency setting. J Urol 2005; 174(6):2307–2309.
  • 20. Zhao C, Tang K, Yang H, Xia D, Chen Z. Bipolar Versus Mono-polar Transurethral Resection of Nonmuscle-Invasive Blad-der Cancer: A Meta-Analysis. J Endourol. 2016;30(1):5-12.
  • 21. Tzelves L, Mourmouris P, Skolarikos A. Does bipolar energy provide any advantage over monopolar surgery in transu-rethral resection of non-muscle invasive bladder tumors? A systematic review and meta-analysis. World J Urol. 2021;39(4):1093-1105.

Mesane Tümörü Rezeksiyonunda Karl Storz ve Olympus Bipolar Rezeksiyon Sistemlerinin Karşılaştırılması

Yıl 2023, Cilt: 20 Sayı: 2, 321 - 325, 31.08.2023

Süleyman Sağır İzzettin Toktaş

https://doi.org/10.35440/hutfd.1329390

Öz

Amaç: Kasa invaze olmayan mesane kanserli hastalarda mesane tümörlerinin tedavisinde Olimpus ve Karl Storz bipolar transüretral mesane rezeksiyonunun perioperatif sonuçlarını ve komplikasyonlarını karşılaştırmayı amaçladık.
Materyal ve metod: Etik Kurulu onayı (Karar No. 2023/5-17) takibinde, 01 Ocak 2019 ile 28 Şubat 2023 tarihleri arasında Olimpus ve Karl Storz bipolar sistemleri ile transüretral mesane tümörü rezeksiyonu yapılan tüm hastalar değerlendirilmeye alındı.
Bulgular: Olimpus grubunda hemoglobin (hbg) değişimi 1,11±0,61 iken Karl Storz grubunda 1,35±0,82 olarak görüldü ve anlamlı istatistiksel fark görülmedi (p= 0,180). Tümör boyutu Olimpus grubunda 3,20±1,55 cm olup Karl Storz grubunda 4,20±2,79 cm olarak değerlendirildi. Benzer şekilde obturator reflex, mesane perforasyon varlığı, kan tranfuzyonu, postoperatif pıhtı retansiyonunda da istatistiksel olarak farklılıklar saptanmadı.
Sonuç: Kasa invaze olmayan mesane kanserinin transüretral rezeksiyonunda bipolar teknolojinin kullanımı güvenli ve etkili bir yöntemdir. Her iki tekniktede mesane perforasyon oranı, postoperatif pıhtı retansiyonu, postoperatif hemoglobin düşüşü, obturator reflex oranı benzer bulunmuş olup, istatistiksel olarak fark görülmemiştir.

Anahtar Kelimeler

Mesane tümörü bipolar sistem rezeksiyon

Destekleyen Kurum

YOK

Kaynakça

  • 1. Burger M, Catto JW, Dalbagni G, Grossman HB, Herr H, Kara-kiewicz P et al. Epidemiology and risk factors of urothelial bladder cancer. Eur Urol. 2013;63(2):234–41.
  • 2. Kiriluk KJ, Prasad SM, Patel AR, Steinberg GD, Smith ND. Bladder cancer risk from occupational and environmental exposures. Urol Oncol. 2012;30(2):199–211.
  • 3. Mashni J, Godoy G, Haarer C, Dalbagni G, Reuter VE, Al- Ahmadie H, et al. Prospective evaluation of plasma kinetic bipolar resection of bladder cancer: comparison to monopo-lar resection and pathologic findings. Int Urol Nephrol. 2014;46(9):1699–705.
  • 4. Pu XY, Wang HP, Wu YL, Wang XH. Use of bipolar energy for transurethral resection of superficial bladder tumors: long-term results. J Endourol. 2008; 22(3): 545–9.
  • 5. Zhao C, Tang K, Yang H, Xia D, Chen Z. Bipolar versus mono-polar transurethral resection of nonmuscle-invasive bladder cancer: a meta-analysis. J Endourol. 2016; 30(1): 5–12
  • 6. Rassweiler J, Schulze M, Stock C, Teber D, De La Rosette J. Bipolar transurethral resection of the prostate: technical modifications and early clinical experience. Minim Invasive Ther Allied Technol. 2007; 16(1): 11–21.
  • 7. Kaynar M, Celik ZE, Altintas E, Batur AF, Kilic O, Akand M, et al. Comparison of Two Different Bipolar Energy Resources in Transurethral Resection of Bladder Tumors. Urol Int. 2021;105(3-4):304-308.
  • 8. Puppo P, Bertolotto F, Introini C, Germinale F, Timossi L, Naselli A. Bipolar transurethral resection in saline (TURis): Outcome and complication rates after the first 1000 cases. J Endourol. 2009;23(7):1145–1149.
  • 9. Arya M, Shergill IS, Kalsi JS, Muneer A, Mundy AP: Viva practice for the FRCS (Urol) examination. London, Radcliffe Publishing, 2010.
  • 10. Venkatramani V, Panda A, Manojkumar R, Kekre NS. Mono-polar versus bipolar transurethral resection of bladder tu-mors: A single center, parallel arm, randomized, controlled trial. J Urol. 2014;191(6):1703–1707.
  • 11. Michielsen DP, Coomans D, Braeckman JG, Umbrain V. Bipolar transurethral resection in saline: The solution to av-oid hyponatraemia and transurethral resection syndrome. Scand J Urol Nephrol 2010;44(4):228–235.
  • 12. Bolat D, Gunlusoy B, Degirmenci T, Ceylan Y, Polat S, Aydin E, et al. Comparing the short-term outcomes and complicati-ons of monopolar and bipolar transurethral resection of non-muscle invasive bladder cancers: a prospective, rando-mized, controlled study. Arch Esp Urol. 2016; 69(5): 225–33.
  • 13. Sugihara T, Yasunaga H, Horiguchi H, Matsui H, Nishimatsu H, Nakagawa T, et al. Comparison of perioperative outcomes including severe bladder injury between monopolar and bi-polar transurethral resection of bladder tumors: a popula-tion based comparison. J Urol. 2014; 192(5): 1355–9.
  • 14. Xishuang S, Deyong Y, Xiangyu C, Tao J, Quanlin L, Hongwei G, et al. Comparing the safety and efficiency of conventional monopolar, plasmakinetic, and holmium laser transurethral resection of primary non-muscle invasive bladder cancer. J Endourol. 2010; 24(1): 69–73.
  • 15. Anagnostopoulou S, Kostopanagiotou G, Paraskeuopoulos T, Chantzi C, Lolis E, Saranteas T. Anatomic variations of the obturator nerve in the inguinal region: implications in con-ventional and ultrasound regional anesthesia techniques. Reg Anesth Pain Med. 2009; 34(1): 33–9.
  • 16. Panagoda PI, Vasdev N, Gowrie-Mohan S. Avoiding the obturator Jerk during TURBT. Curr Urol. 2018; 12(1): 1–5.
  • 17. Bus MT, Cordeiro ER, Anastasiadis A, Klioueva NM, de la Rosette JJ, de Reijke TM. Urothelial carcinoma in both ad-nexa following perforation during transurethral resection of a non-muscle-invasive bladder tumor: a case report and lite-rature review. Expert Rev Anticancer Ther. 2012; 12(12): 1529–36.
  • 18. Cusano A, Murphy G, Haddock P, Wagner J. Tumour see-ding as a result of intraperitoneal perforation during transu-rethral resection of non-muscle invasive bladder cancer. BMJ Case Rep. 2014; 2014: bcr2014206631.
  • 19. Nieder AM, Meinbach DS, Kim SS, Soloway MS. Transureth-ral bladder tumor resection: Intraoperative and postoperati-ve complications in a residency setting. J Urol 2005; 174(6):2307–2309.
  • 20. Zhao C, Tang K, Yang H, Xia D, Chen Z. Bipolar Versus Mono-polar Transurethral Resection of Nonmuscle-Invasive Blad-der Cancer: A Meta-Analysis. J Endourol. 2016;30(1):5-12.
  • 21. Tzelves L, Mourmouris P, Skolarikos A. Does bipolar energy provide any advantage over monopolar surgery in transu-rethral resection of non-muscle invasive bladder tumors? A systematic review and meta-analysis. World J Urol. 2021;39(4):1093-1105.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Üroloji
Bölüm Araştırma Makalesi
Yazarlar

Süleyman Sağır 0000-0001-5300-8071

İzzettin Toktaş 0000-0002-3616-9399

Erken Görünüm Tarihi 17 Ağustos 2023
Yayımlanma Tarihi 31 Ağustos 2023
Gönderilme Tarihi 18 Temmuz 2023
Kabul Tarihi 1 Ağustos 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 20 Sayı: 2

Kaynak Göster

Vancouver Sağır S, Toktaş İ. Mesane Tümörü Rezeksiyonunda Karl Storz ve Olympus Bipolar Rezeksiyon Sistemlerinin Karşılaştırılması. Harran Üniversitesi Tıp Fakültesi Dergisi. 2023;20(2):321-5.
 Kapak Resmi İndir

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty