urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2022-10-1-96-103urovest-527Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEНовейшие достижения в трансуретральной резекции стенки мочевого пузыря с опухольюRecent advances in transurethral resection of bladder tumorshttps://orcid.org/0000-0003-1692-0445БабаевскаяД. И.BabaevskayaD. I.

Диана Ивановна Бабаевская — студентка 6-го курса Института клинической медицины им. Н.В. Склифосовского 

г. Москва

Diana I. Babaevskaya — Student (Course 6), Sklifosovsky Institute for Clinical Medicine

Moscow

dianababaevskaya@gmail.comhttps://orcid.org/0000-0003-3552-4851БазаркинА. К.BazarkinA. K.

Андрей Константинович Базаркин — студент 5-го курса Института клинической медицины им. Н.В. Склифосовского 

г. Москва

Andrey K. Bazarkin — Student (Course 5), Sklifosovsky Institute for Clinical Medicine

Moscow

ak.bazarkin@gmail.comhttps://orcid.org/0000-0003-4369-173XТараткинМ. С.TaratkinM. S.

Марк Сергеевич Тараткин — научный сотрудник Института урологии и репродуктивного здоровья 

г. Москва

Mark S. Taratkin — M.D., Researcher; Sklifosovsky Institute for Clinical Medicine

Moscow

marktaratkin@gmail.comhttps://orcid.org/0000-0001-7169-2209ЕникеевД. В.EnikeevD. V.

Дмитрий Викторович Еникеев — доктор медицинских наук, профессор; профессор Института урологии и репродуктивного здоровья 

г. Москва

Dmitry V. Enikeev — M.D., Dr.Sc.(Med), Full Prof.; Prof., Institute for Urology and Reproductive Health

Moscow

dvenikeev@gmail.comФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation20223003202210196103Copyright © Бабаевская Д.И., Базаркин А.К., Тараткин М.С., Еникеев Д.В., 20222022Бабаевская Д.И., Базаркин А.К., Тараткин М.С., Еникеев Д.В.Babaevskaya D.I., Bazarkin A.K., Taratkin M.S., Enikeev D.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/527

Трансуретральная резекция стенки мочевого пузыря с опухолью (ТУРМП) не только является стандартной процедурой при лечении мышечно-неинвазивного рака мочевого пузыря, но и играет ведущую роль в диагностике мышечно-инвазивного заболевания. Критериями качества операции являются полное удаление всех участков опухоли в пределах здоровых тканей и, что не менее важно, получение высококачественного гистологического образца с мышечным слоем для постановки точного диагноза. Задача данного обзора — рассмотреть способы увеличения эффективности ТУРМП: 1) возможность улучшения визуализации опухоли в мочевом пузыре; Европейская Ассоциация Урологов рекомендует для этого использовать новые методы — фотодинамическую диагностику (PDD) и узкополосную визуализацию (NBI); 2) резекция опухоли единым блоком (en bloc), что позволяет получить морфологический материал более высокого качества, чем при резекции опухоли по частям, и увеличить безрецидивную выживаемость; 3) использование новых источников энергии (лазеров), что помогает уменьшить риск кровотечений и предотвращает ряд осложнений после ТУРМП, таких как рефлекс запирательного нерва и перфорация мочевого пузыря; а также обобщить последние данные о возможности и необходимости их применения в клинической практике.

Transurethral resection of the bladder tumor (TURBT) is a standard procedure in bladder cancer management. TURBT has two main goals: to resect completely all the tumor lesions in healthy tissues and to provide high-quality specimen to facilitate accurate diagnosis. To achieve these goals, urologists make use of several options to maximize the efficiency of the procedure. To make tumor detection as effective as possible, the European Association of Urology guidelines recommend using enhanced visualization methods such as photodynamic diagnostics (PDD) and narrow-band imaging (NBI). Novel en bloc technique enables one to provide specimens of a higher quality and to increase recurrence-free survival. Also, the use of new energy sources such as lasers helps to decrease bleeding and prevent several complications after TURBT, e.g., obturator nerve reflex and bladder perforation. This article summarizes the options available to enhance the TURBT procedure and reports on the latest data on their feasibility for clinical practice.

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The authors declare that there are no conflicts of interest present.