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Titolo:
The serous-lined tunnel principle for urinary reconstruction: a more rational method
Autore:
Kato, H; Kiyokawa, H; Igawa, Y; Nishizawa, O;
Indirizzi:
Shinshu Univ, Sch Med, Dept Urol, Matsumoto, Nagano 3908621, Japan ShinshuUniv Matsumoto Nagano Japan 3908621 sumoto, Nagano 3908621, Japan
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 9, volume: 87, anno: 2001,
pagine: 783 - 788
SICI:
1464-4096(200106)87:9<783:TSTPFU>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTRAMURAL ILEAL VALVE; ANTIREFLUX TECHNIQUE; URETEROILEAL REIMPLANTATION; ILEOCECAL VALVE; DIVERSION; OUTLET; DOGS; INCONTINENCE; CONSTRUCTION; REPLACEMENT;
Keywords:
orthotopic substitution; continent urinary diversion; ureteric substitution; serous-lined tunnel;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Kato, H Shinshu Univ, Sch Med, Dept Urol, 3-1-1 Asahi, Matsumoto, Nagano 3908621, Japan Shinshu Univ 3-1-1 Asahi Matsumoto Nagano Japan 3908621 621, Japan
Citazione:
H. Kato et al., "The serous-lined tunnel principle for urinary reconstruction: a more rational method", BJU INT, 87(9), 2001, pp. 783-788

Abstract

Objective To examine the feasibility of using the serous-lined-tunnel principle for orthotopic neobladder, continent cutaneous diversion and uretericreplacement by an intestinal segment. Patients and methods We created: (i) an orthotopic ileal neobladder using the serous-lined technique for antirefluxing ureteric implantation in 16 patients: (ii) a continent ileal pouch, adopting the principle for continent-valve construction and for ureteric implantation, in 10 patients (another patient with a failed continent valve underwent revision using an adaptationof this principle; and (iii) by applying the same principle an ileal ureter with a proximal antirefluxing mechanism was constructed in two patients (with lower ureteric cancer), and total replacement of the ureter by a tubular segment of the colon in association with a continent transverse colon pouch in one irradiated patient. Results In all, 52 ureters implanted into ileal neobladders or continent pouches functioned well, with neither obstruction nor reflux; 11 continent valves functioned well with no incontinence. Two patients with ileal uretersshowed no ileo-ureteric reflux and had less hydronephrosis than before surgery. The tubularized ureter provided a unidirectional now into the pouch. Conclusion Ureteric reimplantation and continent value formation achieved by adopting the serous-lined tunnel principle provided satisfactory results. The versatility of the principle is apparent in the present experience and the creative application of the serous-lined tunnel principle should be possible in urinary reconstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/08/20 alle ore 16:24:51