کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3898363 1599264 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Studer Orthotopic Neobladder: A Modified Surgical Technique
ترجمه فارسی عنوان
STUDER Orthotopic Neobladder: یک تکنیک جراحی اصلاح شده
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
چکیده انگلیسی

ObjectiveTo describe a modified technique for orthotopic ileal neobladder preparation. The Studer technique is the method most frequently used worldwide and seems to be an ideal reconstructive solution after radical cystectomy.MethodsAfter radical cystectomy, urinary diversion is attained by means of a detubulized ileal segment. About 40 cm are used to create the reservoir and 15 cm for a tubular afferent limb. A spheroidal-shaped reservoir is then obtained with a conic distal part that will be anastomized to the urethral stump. After the reconstructive part, the neobladder and the afferent limb are attached to the levator ani and psoas muscles, respectively. Postoperative results on a series of 36 patients are reported.ResultsThe final shape of the reservoir was roughly spherical. A small amount of anastomotic strictures was registered. Renal function was not impaired after surgery, even at late follow-up.ConclusionEven if the Studer technique is already well described, we believe that our technical changes may improve urinary tract restoration, and potentially decrease complications typical of urinary orthotopic diversion. Further cases are required to confirm possible advantages of the modified technique.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Urology - Volume 88, February 2016, Pages 222–225
نویسندگان
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