Abstract：
OBJECTIVE:Up to 10% of patients who have undergone the Bricker ileal conduit urinary diversion may develop ureteroileal anastomotic complications that are more frequently associated with the left side ureter. We have therefore modified the standard Bricker ileal conduit technique to minimize the anastomotic complications associated with the left side ureter. MATERIALS AND METHODS:In our modification, the proximate end of the ileal conduit was brought from the right side to the left under the mesosigmoid in an isoperistaltic fashion. The left ureter that remained in the natural extraperitoneal location was anastomosed to the ileal segment in the usual end-to-side fashion without the need of extensive ureteral dissection. RESULTS:A series of 42 patients have undergone ileal conduit urinary diversion using this modified technique. During a median follow-up period of 18.6 months, this technique was found to have no associated major perioperative complications and early- and intermediate-term ureteroileal anastomotic complications from both sides of the ureters. CONCLUSION:Our modified ileal conduit diversion technique was easy and safe to perform, and may serve as an alternative technique for the standard Bricker ileal conduit urinary diversion, especially when the left distal ureter was involved extensively with urothelial carcinoma.
journal_name
Urologyjournal_title
Urologyauthors
Li Y,Zhuang Q,Hu Z,Wang Z,Zhu H,Ye Zdoi
10.1016/j.urology.2011.07.001subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1191-5issue
5eissn
0090-4295issn
1527-9995pii
S0090-4295(11)00704-7journal_volume
78pub_type
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