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- W3030357725 abstract "ObjectiveTo evaluate the clinical value of the orthotopic ileal neobadder with the ileum valvuloplasty and pulling antireflux technique for ureteroileal anastomosis.MethodsThe data of 27 cases underwent orthotopic ileal neobadder of which all cases with multiple or invasive carcinoma of bladder. There were 23 males and 4 females with an average of 61 (41–77) yrs accepted antireflux ileal neobladder with an afferent tubular segment after the radical cystectomy from Jan. 2009 to Jan. 2014. The clinic stage in these patients included in 19 T1–2N0M0 cases and 8 T3N0M0 cases. In our technique, we retrieved the intestinal about 48 cm for the construction of neobadder, with 10–12 cm used as input segment, and pouch input section of ileum junction 2–3 cm sutured to form ileum valve anti reflux; pulling the ureter inside of the afferent tubular ileal segment, with two rows sutures fixing the seromuscular layer of the ureter to the seromuscular layer of the ileal segment. The following parameters were considered: operative time, complications and functional outcomes.ResultsThe mean operative time, and intraoperative blood loss were 320 (300–450) min and 400 (250–1 200) ml, respectively. The operative time for neobladder reconstruction was 41 (35 to 50) min. Follow–up was 21 (3 to 44) mon. No sever complications or stricture of the ureteral–neobladder anastomisis were recorded. The day time continence rates at 3, 6, 12 and 24 months postoperatively daytime were 66.7%, 75.0%, 95.7% and 100.0%, nighttime 59.3%, 70.8%, 86.9% and 93.8%, respectively. Urodynamic studies were performed in 22 patients, 6 months and one year after surgery, the average maximal neigladder capacity was 360 ml and 430 ml, the average pressure at maximal capacity was 17 cmH2O and 14 cmH2O.ConclusionsThe antireflux ileal neobladder with an afferent tubular segment have good functional outcomes. Technique for ureteroileal anastomosis in orthotopic ileal neobladder avoids stenosis. It is easy, rapid and reliable procedure.Key words: Bladder neoplasms; Ileal neobladder; Urinary diversion; Antireflux" @default.
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- W3030357725 date "2015-09-15" @default.
- W3030357725 modified "2023-10-17" @default.
- W3030357725 title "Ileum valvuloplasty and pulling antireflux technique for ureteroileal anastomosis in orthotopic ileal neobadder" @default.
- W3030357725 doi "https://doi.org/10.3760/cma.j.issn.1000-6702.2015.09.011" @default.
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