کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3926733 1600012 2006 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Supra-ampullar Cystectomy and Ileal Neobladder
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Supra-ampullar Cystectomy and Ileal Neobladder
چکیده انگلیسی

ObjectiveThis article describes both the open and laparoscopic operative techniques of supra-ampullar cystectomy (SAC).MethodsBoth open (photographs and drawings) and laparoscopic (attached DVD) SAC are explained step by step.ResultsBetween May 1984 and December 2005, 31 patients with bladder tumour underwent SAC with ileal orthotopic neobladder (2 Camey I, 26 Camey II, and 3 Y). Three patients underwent laparoscopy. Preoperatively, 26 patients had superficial high-risk transitional cell carcinoma (TCC). Median follow-up was 95.0 mo (range: 5–260 mo). The 10-yr cause-specific survival rate was 76.7%. Two patients had local recurrence. Potency was preserved in 28 patients (90.3%); 15 patients (48.3%) also maintained antegrade ejaculation, allowing procreation in 3 cases. In one patient the Camey I neobladder was converted into an ileal conduit (high postvoid residual, recurrent pyelonephritis). None of the remaining patients had daytime incontinence, eight had nightime urinary incontinence, and six performed intermittent self-catheterisation.ConclusionSAC with detubularised ileal orthotopic neobladder allows preservation of sexual function and maintenance of urinary continence in most patients, without compromising oncologic outcome. The key element is the very strict and careful preoperative selection of the patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Urology - Volume 50, Issue 6, December 2006, Pages 1223–1233
نویسندگان
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