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A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy
BACKGROUND: The aim of this study is to describe a modified technique in ileal orthotopic bladder substitution with a new ureteroileal anastomosis. CASE PRESENTATION: After a classic open radical cystectomy with bilateral pelvic lymphadenectomy was performed extraperitoneally, a 56-cm ileal segment...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151641/ https://www.ncbi.nlm.nih.gov/pubmed/32278349 http://dx.doi.org/10.1186/s12957-020-01831-w |
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author | Wu, Bin Pan, Chunyu Yao, Zichuan Zhu, Xianqing Bai, Song |
author_facet | Wu, Bin Pan, Chunyu Yao, Zichuan Zhu, Xianqing Bai, Song |
author_sort | Wu, Bin |
collection | PubMed |
description | BACKGROUND: The aim of this study is to describe a modified technique in ileal orthotopic bladder substitution with a new ureteroileal anastomosis. CASE PRESENTATION: After a classic open radical cystectomy with bilateral pelvic lymphadenectomy was performed extraperitoneally, a 56-cm ileal segment was used to construct the spheroidal shape bladder substitution. The 8-cm long proximal and distal ends of the ileal segment were used as afferent limbs. Two-centimeter ileal segments of afferent limbs were detubularized and transversally tubularized. The elongated ileal tube was anastomosed with the ureter in an end-to-end fashion. The pathway of the ureteroileal anastomosis was placed between the abdominal cutaneous fat and the anterior rectus muscular sheath. Perioperative data and long-term functional outcomes were assessed. Between December 2011 and December 2015, seven male patients underwent this procedure with a median 46 (30–77) months follow-up in our hospital. There was no difference between preoperative and postoperative estimated glomerular filtration rates (Z = − 1.693, P = 0.09). One of 14 sides had ureteroileal anastomotic stenosis; two of 14 sides in one patient had ureteroileal anastomotic stenosis caused by invasion of pelvic recurrence 15 months postoperatively. Reflux was completely prevented by placing pressure on the corresponding point on the abdominal surface when voiding urine in all patients. CONCLUSIONS: We describe a feasible technique modification in detail, which provides some advantages for effective anti-reflux by mechanical finger pressing and abdominal contraction, a low incidence of stricture, and ease for a secondary operation in the long-term follow-up period. |
format | Online Article Text |
id | pubmed-7151641 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71516412020-04-19 A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy Wu, Bin Pan, Chunyu Yao, Zichuan Zhu, Xianqing Bai, Song World J Surg Oncol Technical Innovations BACKGROUND: The aim of this study is to describe a modified technique in ileal orthotopic bladder substitution with a new ureteroileal anastomosis. CASE PRESENTATION: After a classic open radical cystectomy with bilateral pelvic lymphadenectomy was performed extraperitoneally, a 56-cm ileal segment was used to construct the spheroidal shape bladder substitution. The 8-cm long proximal and distal ends of the ileal segment were used as afferent limbs. Two-centimeter ileal segments of afferent limbs were detubularized and transversally tubularized. The elongated ileal tube was anastomosed with the ureter in an end-to-end fashion. The pathway of the ureteroileal anastomosis was placed between the abdominal cutaneous fat and the anterior rectus muscular sheath. Perioperative data and long-term functional outcomes were assessed. Between December 2011 and December 2015, seven male patients underwent this procedure with a median 46 (30–77) months follow-up in our hospital. There was no difference between preoperative and postoperative estimated glomerular filtration rates (Z = − 1.693, P = 0.09). One of 14 sides had ureteroileal anastomotic stenosis; two of 14 sides in one patient had ureteroileal anastomotic stenosis caused by invasion of pelvic recurrence 15 months postoperatively. Reflux was completely prevented by placing pressure on the corresponding point on the abdominal surface when voiding urine in all patients. CONCLUSIONS: We describe a feasible technique modification in detail, which provides some advantages for effective anti-reflux by mechanical finger pressing and abdominal contraction, a low incidence of stricture, and ease for a secondary operation in the long-term follow-up period. BioMed Central 2020-04-11 /pmc/articles/PMC7151641/ /pubmed/32278349 http://dx.doi.org/10.1186/s12957-020-01831-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Technical Innovations Wu, Bin Pan, Chunyu Yao, Zichuan Zhu, Xianqing Bai, Song A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title | A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title_full | A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title_fullStr | A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title_full_unstemmed | A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title_short | A new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
title_sort | new ureteroileal anastomosis technique in modified ileal orthotopic bladder substitution after radical cystectomy |
topic | Technical Innovations |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151641/ https://www.ncbi.nlm.nih.gov/pubmed/32278349 http://dx.doi.org/10.1186/s12957-020-01831-w |
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