Abstract：Objective: The aim of this study was to evaluate the efficacy and security of transurethral resection of bladder tumor (TURBT) for bladder carcinoma with recurrent bleeding in elderly patients. Methods: 62-patient were selected and treated with TURBT between May 2003 and May 2012, and all people were diagnosed as bladder transitional cell carcinoma by pathology after operation. Results: All people were operated a successful TURBT, without intraoperative blood transfusion or intraoperative death. Conventional postoperatively with mitomycin 40 mg was diluted by 40 mL saline water for bladder perfusion chemotherapy. All people postoperatively information were collected by telephone, and the follow-up time from 6 to 60 months, the average time was 32 months. 62-patient achieved well hemostasis and significantly improved the quality of the life. Moreover, the 5-year survival rate was arrived 79.0% after TURBT. Conclusions: The effect of TURBT treatment of the bladder carcinoma patients with recurrent bleeding reached at 100%, and improved the quality of the life for therapeutic purposes.
[1]Alferov SM, Grishin MA, Emelianenko AV. Endosurgery in treatment of urinary bladder cancer in elderly patients J. Khirurgiia (Mosk), 2010, 20(9):30-35. [2]Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012 J. CA Cancer J Clin, 2012, 62(1):10-29. [3]Brausi M, Collette L, Kurth K, et al. Variability in the recurrence rate at first follow-up cystoscopy after TUR in stage Ta/T1 translational cell carcinoma of the bladder :a combined analysis of seven EORTC studies J. Eur Urol, 2002, 41(5):523-531. [4]那彦群,叶章群,孙光. 中国泌尿外科疾病诊断治疗指南.北京:人民卫生出版社,2011. [5]苗向阳,罗旭,付逆,等.胎盘生长因子在膀胱移行细胞癌中的表达及临床意义.遵义医学院学报, 2012,35(6):500-502. [6]Zaghloul MS. Adjuvant and neoadjuvant radiotherapy for bladder cancer:revisited. Future Oncol, 2010,6(7):1171-1191. [7]孔垂泽.膀胱癌保留膀胱的手术治疗. 临床外科杂志, 2009, 17(11):731-733. [8]张盛建.膀胱癌保留膀胱手术后42例临床观察. 吉林医学, 2012, 33 (2):250-252. [9]王磊, 董胜国, 余芹超, 等. T2期膀胱尿路上皮癌膀胱部分切除术和根治性膀胱切除术的比较分析. 现代泌尿生殖肿瘤杂志, 2009, 1(4):204-206. [10]姜博, 朱强, 张海峰. 经尿道膀胱肿瘤电切术中预防闭孔神经反射致膀胱穿孔不同的方法介绍. 中华腔镜泌尿外科杂志(电子版), 2011, 5 (2):126-128.
