Concurrent urinary and bowel diversion: Surgical modification with sigmoid colon that avoids a bowel anastomosis
| Autor: | Mark H. Katz, Richard K. Babayan, Angela H. Kuhnen, Didi P Theva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology medicine.medical_treatment Operative Time 030232 urology & nephrology Urinary Diversion Cystectomy 03 medical and health sciences 0302 clinical medicine Colon Sigmoid Colostomy Medical Illustration medicine Humans Surgical Technique Urinary Tract Neurogenic bladder dysfunction Bladder cancer Pelvic exenteration business.industry Urinary diversion Anastomosis Surgical Urinary Bladder Diseases Interstitial cystitis Sigmoid colon Reproducibility of Results Length of Stay Middle Aged medicine.disease Diseases of the genitourinary system. Urology Surgery Intestines medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis RC870-923 business |
| Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International Brazilian Journal of Urology, Vol 46, Iss 1, Pp 108-115 (2019) International braz j urol v.46 n.1 2020 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 46, Issue: 1, Pages: 108-115, Published: 13 JAN 2019 |
| ISSN: | 1677-6119 1677-5538 |
| Popis: | Objective: Cystectomy with urinary diversion is the gold standard for muscle invasive bladder cancer. It also may be performed as part of pelvic exenteration for non-urologic malignancy, neurogenic bladder dysfunction, and chronic conditions that result in a non-functional bladder (e.g., interstitial cystitis, radiation cystitis). Our objective is to describe the surgical technique of urinary diversion using large intestine as a conduit whilst creating an end colostomy, thereby avoiding a primary bowel anastomosis and to show its applicability with respect to urologic conditions. Materials and Methods: We retrospectively reviewed five cases from a single institution that utilized the described method of urinary diversion with large intestine. We describe operative times, hospital length of stay (LOS), and describe post-operative complications. Results: Five patients with a variety of urologic and oncologic pathology underwent the described procedures. Their operative times ranged from 5 hours to 11 hours and one patient experienced a Clavien III complication. Conclusion: We describe five patients who underwent this procedure for various medical indications, and describe their outcomes, and believe dual diversion of urinary and gastrointestinal systems with colon as a urinary conduit to be an excellent surgical option for the appropriate surgical candidate. |
| Databáze: | OpenAIRE |
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