Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis
Current treatment for non-muscle invasive bladder cancer (NMIBC) is the conventional transurethral resection of bladder tumor (CTURBT), but the en bloc transurethral resection of bladder tumor (ERBT) has been gaining more attraction in recent years considering better specimen integrity. Thus, we con...
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| Format: | Article |
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MDPI AG
2023-03-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/7/2055 |
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| author | Chi-Wei Wang Ping-Jui Lee Chih-Wei Wu Chen-Hsun Ho |
| author_facet | Chi-Wei Wang Ping-Jui Lee Chih-Wei Wu Chen-Hsun Ho |
| author_sort | Chi-Wei Wang |
| collection | DOAJ |
| description | Current treatment for non-muscle invasive bladder cancer (NMIBC) is the conventional transurethral resection of bladder tumor (CTURBT), but the en bloc transurethral resection of bladder tumor (ERBT) has been gaining more attraction in recent years considering better specimen integrity. Thus, we conducted this meta-analysis to compare the safety and efficacy of ERBT versus CTURBT. Trials were collected from an online database. The primary outcomes included identification of detrusor muscle in specimen, residual tumor, 3, 12, and 24-month recurrence rates and same-site recurrence rate. A total of 31 trials were included. The ERBT group had a higher rate of identification of detrusor muscle in specimens (<i>p</i> = 0.003) and lower residual tumor (<i>p</i> < 0.001). Other than that, lower rates of 3-month (<i>p</i> = 0.005) and 24-month recurrence rate (<i>p</i> < 0.001), same-site recurrence rate (<i>p</i> < 0.001) and complications were also observed. For perioperative outcomes, shorter hospitalization time (HT) (<i>p</i> < 0.001), and catheterization time (CT) (<i>p</i> < 0.001) were also revealed in the ERBT group. No significant difference was found in operative time (OT) (<i>p</i> = 0.93). The use of ERBT showed better pathological outcomes and fewer complications, so it could be considered a more effective treatment option for NMIBC. |
| first_indexed | 2024-03-11T05:41:18Z |
| format | Article |
| id | doaj.art-c9174910f7614bb58d4262adefdec971 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T05:41:18Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-c9174910f7614bb58d4262adefdec9712023-11-17T16:25:25ZengMDPI AGCancers2072-66942023-03-01157205510.3390/cancers15072055Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-AnalysisChi-Wei Wang0Ping-Jui Lee1Chih-Wei Wu2Chen-Hsun Ho3Department of Medicine, Division of Diabetes, Metabolism, and Endocrinology, Showa University School of MDivision of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 11101, TaiwanDepartment of Medicine, Division of Diabetes, Metabolism, and Endocrinology, Showa University School of MDivision of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 11101, TaiwanDepartment of Medicine, Division of Diabetes, Metabolism, and Endocrinology, Showa University School of MDivision of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 11101, TaiwanDepartment of Medicine, Division of Diabetes, Metabolism, and Endocrinology, Showa University School of MDivision of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 11101, TaiwanCurrent treatment for non-muscle invasive bladder cancer (NMIBC) is the conventional transurethral resection of bladder tumor (CTURBT), but the en bloc transurethral resection of bladder tumor (ERBT) has been gaining more attraction in recent years considering better specimen integrity. Thus, we conducted this meta-analysis to compare the safety and efficacy of ERBT versus CTURBT. Trials were collected from an online database. The primary outcomes included identification of detrusor muscle in specimen, residual tumor, 3, 12, and 24-month recurrence rates and same-site recurrence rate. A total of 31 trials were included. The ERBT group had a higher rate of identification of detrusor muscle in specimens (<i>p</i> = 0.003) and lower residual tumor (<i>p</i> < 0.001). Other than that, lower rates of 3-month (<i>p</i> = 0.005) and 24-month recurrence rate (<i>p</i> < 0.001), same-site recurrence rate (<i>p</i> < 0.001) and complications were also observed. For perioperative outcomes, shorter hospitalization time (HT) (<i>p</i> < 0.001), and catheterization time (CT) (<i>p</i> < 0.001) were also revealed in the ERBT group. No significant difference was found in operative time (OT) (<i>p</i> = 0.93). The use of ERBT showed better pathological outcomes and fewer complications, so it could be considered a more effective treatment option for NMIBC.https://www.mdpi.com/2072-6694/15/7/2055en bloc resection of bladder tumordetrusor musclenon-muscle invasive bladder cancer |
| spellingShingle | Chi-Wei Wang Ping-Jui Lee Chih-Wei Wu Chen-Hsun Ho Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis Cancers en bloc resection of bladder tumor detrusor muscle non-muscle invasive bladder cancer |
| title | Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis |
| title_full | Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis |
| title_fullStr | Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis |
| title_full_unstemmed | Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis |
| title_short | Comparison of Pathological Outcome and Recurrence Rate between En Bloc Transurethral Resection of Bladder Tumor and Conventional Transurethral Resection: A Meta-Analysis |
| title_sort | comparison of pathological outcome and recurrence rate between en bloc transurethral resection of bladder tumor and conventional transurethral resection a meta analysis |
| topic | en bloc resection of bladder tumor detrusor muscle non-muscle invasive bladder cancer |
| url | https://www.mdpi.com/2072-6694/15/7/2055 |
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