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Titolo:
Laparoscopic intracorporeally constructed ileal conduit after porcine cystoprostatectomy
Autore:
Fergany, AF; Gill, IS; Kaouk, JH; Meraney, AM; Hafez, KS; Sung, GT;
Indirizzi:
Cleveland Clin Fdn, Inst Urol, Sect Laparoscop & Minimally Invas Surg, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 s Surg, Cleveland, OH 44195 USA Cleveland Clin Fdn, Minimally Invas Surg Ctr, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 rg Ctr, Cleveland, OH 44195 USA
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 1, volume: 166, anno: 2001,
pagine: 285 - 288
SICI:
0022-5347(200107)166:1<285:LICICA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CUTANEOUS URETEROSTOMY; URINARY-DIVERSION; LOOP CONDUIT; CYSTECTOMY; BLADDER; CANCER;
Keywords:
urinary diversion; prostate; cystectomy; swine; laparoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Gill, IS Cleveland Clin Fdn, Inst Urol, Sect Laparoscop & Minimally Invas Surg, 9500 Euclid Ave,A-100, Cleveland, OH 44195 USA Cleveland Clin Fdn 9500 Euclid Ave,A-100 Cleveland OH USA 44195 A
Citazione:
A.F. Fergany et al., "Laparoscopic intracorporeally constructed ileal conduit after porcine cystoprostatectomy", J UROL, 166(1), 2001, pp. 285-288

Abstract

Purpose: We present our technique of laparoscopic ileal conduit creation after cystoprostatectomy in a porcine model performed in a completely intracorporeal manner. Materials and Methods: After developing the technique in 5 acute animals laparoscopic cystoprostatectomy with intracorporeally performed ileal conduit urinary diversion was performed in 10 surviving male pigs. A 5-port transperitoneal technique was used. All steps of the technique applied during open surgery were duplicated intracorporeally. Specifically cystectomy, isolation of an ileal conduit, restoration of bowel continuity and mucosa-to-mucosa stented bilateral ileoureteral anastomosis formation were performed by exclusively intracorporeal laparoscopic techniques. Results: Surgery was successful in all 10 study animals without intraoperative or immediate postoperative complications. Blood loss was minimal and average operative time was 200 minutes. Stenosis of the end ileal stoma specifically at the skin level was noted in 6 animals. Three deaths occurred 2 to 3 weeks postoperatively. At sacrifice renal function was normal in all surviving animals. No ileo-ureteral anastomotic strictures were noted on pre-sacrifice radiography of the loop or at autopsy examination of the anastomotic sites. Conclusions: Laparoscopic ileal conduit urinary diversion after cystoprostatectomy may be performed completely intracorporeally in the porcine model. Clinical application of this technique is imminent.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 09:14:21