Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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SURGICAL AND COMPLEX TREATMENT OF MUSCLE-NON-INVASIVE BLADDER CANCER (TA, T1 AND TIS)

Lelyavin K.B. 1 Dvornichenko V.V. 1, 2
1 Irkutsk State Medical University
2 Irkutsk State Academy of Postgraduate Medical Studies
It was made single-center, randomized, open, retrospective, observational, cohort clinical research, which was attended 896 patients with muscle-non-invasive (Та, Т1 and Тis) bladder cancer. With respect to 256 (28,6%) patients (the main group) were applied bipolar technologies of endourethral resection of the bladder cancer in 0,9% solution of NaCl (TURis-vap). The other 640 (71,4%) patients (the group of the clinical comparasion) were operated with a help of classic method monopolar transurethral resection of the bladder tumor and the vaporization (TUR-vap). As main advantages of the bipolar TURis-vap in 0,9% solution NaCl, which is used in endourethral treatment of the muscle-non-invasive bladder cancer before the monopolar TUR, is possible to expect: reduced duration of the operational intervention, number of the surgical complications, reduced postoperative catheterization of the bladder and the less number of days in a hospital. Possibility of prolongation of the operational intervention makes this method safe even at the stage of development. The obvious advantage of the bipolar transurethral resection and vaporization of bladder tumors in comparison with other methods let us suppose, that in the near future TURis-vap will work as a «golden standart» in surgery of the muscle-non-invasive bladder cancer.