論文種別	原著(症例報告除く)
言語種別	英語
査読の有無	その他(不明)
表題	Consensus-Based Development of a Surgical Checklist for Transurethral Resection of Bladder Tumor: An Initiative of the Japanese Society of Urologic Oncology.
掲載誌名	正式名：International journal of urology : official journal of the Japanese Urological Association 略　 称：Int J Urol ISSNコード：14422042/09198172
掲載区分	国外
巻・号・頁	33(7),pp.e70570
著者・共著者	Rikiya Taoka, Nozomi Hayakawa, Tomokazu Kimura, Eiji Kikuchi, Kosuke Iwatani, Minoru Kato, Takashi Matsumoto, Hajime Tanaka, Takeshi Sano, Takuto Hara, Hideo Fukuhara, Makito Miyake, Takahiro Osawa, Shingo Hatakeyama, Takashi Kobayashi, Junichi Inokuchi, Shuichi Tatarano, Hiroshi Kitamura, Mikio Sugimoto, Norio Nonomura
発行年月	2026/07
概要	OBJECTIVE:This study aimed to develop a nationwide, consensus-based surgical checklist to standardize transurethral resection of bladder tumor procedures and documentation.METHODS:In 2025, the Japanese Society of Urologic Oncology convened a working group of 20 bladder cancer specialist urologists to develop a national surgical checklist for transurethral resection of bladder tumors. A 12-member steering committee reviewed available evidence and proposed 30 candidate items. Using a modified Delphi approach, all members rated each item online, with consensus predefined as ≥ 75% agreement. Iterative revisions incorporating public comments and external expert input produced the final checklist.RESULTS:The final checklist comprised 22 items across four sections: (i) preoperative patient and tumor information (recurrence status; upper tract urothelial carcinoma; urine cytology; clinical Tumor-Node-Metastasis staging; performance status; factors affecting surgery/anesthesia); (ii) surgical and anesthetic planning (surgical intent; resection technique; adjunctive imaging modality; additional biopsies; anesthesia method; obturator reflex prophylaxis); (iii) intraoperative tumor and resection information (tumor number; index tumor morphology; index tumor size; findings suggestive of carcinoma in situ; extent of tumor resection; detrusor muscle visible; muscle invasion suspected); and (iv) complications and adjuvant therapy (urethral stricture; intraoperative complications; immediate single instillation). An additional section provides two bladder diagrams: a male/general-use version with lower urinary tract annotations and a female-specific version, both designed for mapping tumor location, characteristics, and operative findings.CONCLUSIONS:This checklist provides a practical framework to standardize transurethral resection of bladder tumor practice and documentation and support safe, high-quality care, warranting prospective evaluation of feasibility, adherence, and quality indicators/outcomes.
DOI	10.1111/iju.70570
PMID	42477956