A comparison of clinical outcome between holmium laser resection and transurethral resection for superficial bladder carcinoma / 肿瘤

ABSTRACT

Objective: To summarize and compare the clinical therapeutic effect of holmium laser resection (HoLR) and transurethral resection (TUR) on superficial bladder tumors. Methods: Twenty-six bladder cancer patients received HoLR therapy and 38 cases received TUR therapy. The mean operative time, the case number with bladder perforation, the number of patients receiving postoperative bladder perfusion, indwelling time of urethral catheter, incidence of urethral meatal stenosis, and postoperative recurrence were analyzed and compared between the two groups. Results: The patients were followed up for 6-28 months. The difference was not significant between the two groups in the mean operative time, indwelling period of urethral catheter, incidence of urethral meatal stenosis and postoperative recurrence (P >0.05). But the number of patients who need postoperative bladder perfusion was markedly decreased in HoLRBt group than TURBt group (P <0.05). Conclusion: The HoLRBt therapy has definite effects on bladder tumors and causes less serious complications. Compared with TURBt, HoLRBt has more advantages in reducing the incidence of bladder perforation.