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Serous‐lined extramural tunnel technique for uretero‐ileal implantation in urinary diversion
Author(s) -
KATO HARUAKI,
IIZUKA KEIJI,
IGAWA YASUHIKO,
NISHIZAWA OSAMU
Publication year - 1999
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.1999.06333.x
Subject(s) - medicine , anastomosis , serous fluid , urinary diversion , serous membrane , reflux , pouch , cystectomy , ileum , surgery , upper urinary tract , urinary bladder , urinary system , urology , anatomy , bladder cancer , disease , cancer
Purpose: We present our initial experience of a serous‐lined extramural tunnel technique for anti‐refluxing uretero‐ileal anastomosis in five cases of orthotopic ileal bladder and four cases of continent ileal pouch. Methods/Results: Ureters were implanted into serous‐lined tunnels formed from a detubularized W‐configurated ileal segment. Neither upper tract dilatation nor reflux were observed in any patient postoperatively. Conclusion: The technique can provide an effective uretero‐ileal anastomosis for reflux prevention with minimal use of the ileal segment and without the use of any artificial materials.