|
|
|
요도가 작아 경요도 절제경 삽입이 불가능한 소아 방광암 환자에서 공기방광을 이용한 방광종양절제술 |
| 성균관의대 삼성서울병원, 비뇨의학교실 |
| 유지웅, 김준규, 백민기 |
Objective
To describe our experience with pneumovesicoscopic bladder tumor resection in a young boy whose urethra was too small to use a resectoscope.
Methods
An 11-year-old boy presented with gross hematuria. The patient was found to have a 2 cm-sized bladder tumor on ultrasound. The patient’s urethra was too small to use a pediatric resectoscope, making it impossible to perform a transurethral resection of the bladder tumor. Therefore, pneumovesicoscopic bladder tumor resection was performed. En-bloc resection was performed successfully using 3 mm laparoscopic instruments, and the tumor was safely retrieved within an endo-bag made with a surgical glove.
Results
On postoperative day 1, the Foley catheter was removed and the patient was discharged. The pathology report described bladder papillary urothelial carcinoma, grade II/III without lamina propria invasion. The patient underwent follow-up with ultrasonography and urine cytology every three to six months. There was no recurrence for 21 months after surgery.
Conclusion
This video demonstrates a pneumovesicoscopic approach for the treatment of bladder tumor in a young patient whose urethra was too small to use a resectoscope. Pneumovesicoscopic bladder tumor resection is technically feasible and safe.
|
|
keywords : laparoscopic surgery; bladder tumor; pneumovesicum; pediatric patient |
|
