The role of interventional radiology in the management of intra-and extra-Peritoneal leakage in patients who have undergone continent urinary diversion
| Autor: | Kenneth B. Cummings, Tadeus Russer, Randall L. Siegel, John L. Nosher, Leonard J. Bodner, Stephen Kraus |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Urine Cystectomy Radiography Interventional Urinary catheterization Pelvis Postoperative Complications Ureter medicine Humans Radiology Nuclear Medicine and imaging Aged Nephrostomy Percutaneous Retrospective Studies Aged 80 and over Urinary bladder medicine.diagnostic_test business.industry Anastomosis Surgical Urinary Reservoirs Continent Interventional radiology Middle Aged respiratory system Surgery Catheter medicine.anatomical_structure Urinary Bladder Neoplasms Nephrostomy Female Stents Urinary Catheterization Cardiology and Cardiovascular Medicine business human activities Continent Urinary Diversion |
| Zdroj: | Cardiovascular and Interventional Radiology. 20:274-279 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s002709900151 |
| Popis: | To assess how radiologic intervention altered the hospital course of patients undergoing continent urinary diversion.Thirty-seven consecutive patients with bladder cancer invading the muscular layer were treated with total cystectomy and construction of a continent urinary reservoir. Eleven of 37 patients suffered early and late anastomotic leakage; six had prolonged extraperitoneal leakage at the urethroenteric anastomosis, three had prolonged intraperitoneal pouch leaks, and two had delayed ureteroenteric leaks. Seven of these patients required radiologic intervention.Intervention in the form of drainage catheter manipulation (n = 4), percutaneous nephrostomy (n = 4), or ureteral stent placement (n = 2) resulted in cessation of leakage without surgical intervention in all seven patients. Intraperitoneal pouch leaks were more difficult to control than extraperitoneal leakage and required longer drainage intervals.Interventional radiologic procedures played a key role in the management of continent urinary diversion complications, obviating the need for repeat surgical intervention in all instances. |
| Databáze: | OpenAIRE |
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