Surgical experience is predictive for bladder tumour resection quality

To assess the resection quality of transurethral bladder tumour resection (TURBT) and the association to surgeon experience depending on the presence of detrusor muscle. A retrospective study on 640 TURBT procedures performed at Zealand University Hospital, Denmark, from 1 January 2015 − 31 December...

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Veröffentlicht in:Scandinavian journal of urology 2022-11, Vol.56 (5-6), p.391-396
Hauptverfasser: Bube, Sarah H., Brix, Rasmus, Christensen, Maya B., Thostrup, Mathias, Grimstrup, Søren, Hansen, Rikke B., Dahl, Claus, Konge, Lars, Azawi, Nessn
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container_end_page 396
container_issue 5-6
container_start_page 391
container_title Scandinavian journal of urology
container_volume 56
creator Bube, Sarah H.
Brix, Rasmus
Christensen, Maya B.
Thostrup, Mathias
Grimstrup, Søren
Hansen, Rikke B.
Dahl, Claus
Konge, Lars
Azawi, Nessn
description To assess the resection quality of transurethral bladder tumour resection (TURBT) and the association to surgeon experience depending on the presence of detrusor muscle. A retrospective study on 640 TURBT procedures performed at Zealand University Hospital, Denmark, from 1 January 2015 − 31 December 2016. Data included patient characteristics, procedure type, surgeon category, supervisor presence, surgical report data, pathological data, complications data and recurrence data. Analysis was performed using simple and multiple logistic regression on the association between surgeon experience and the presence of detrusor muscle in resected tissue from TURBT. Supervised junior residents had significant lower detrusor muscle presence (73%) compared with consultants (83%) (OR = 0.4, 95% CI = 0.21-0.83). Limitations were the retrospective design and the diversity of included TURBT. It was found that surgical experience predicts detrusor muscle presence and supervised junior residents performing TURBT on patients resulted in less detrusor muscle than consultants.
doi_str_mv 10.1080/21681805.2022.2119271
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subjects classical apprenticeship
Cystectomy - methods
Detrusor muscle
Humans
Muscles - pathology
Retrospective Studies
Surgeons
transurethral resection of bladder tumours
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - surgery
title Surgical experience is predictive for bladder tumour resection quality
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