Laparoscopic cystoprostatvesiculeectomy with orthotopic excentric ileal bladder substitution


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Abstract

There are numerous options for forming an orthotopic bladder by the source tissue and the shape of the urinary reservoir. In our practice, we use the technique reported by Karolinska Institute (Sweden). This technique allows us to form a neobladder most resembling the natural urinary bladder in the shape and volume. The article presents a clinical observation describing this technique in a 63 year old patient who was initially diagnosed with bladder cancer pT2N0M0G3 and underwent transurethral resection of the bladder wall with the tumor. Thereafter, the patient underwent laparoscopic cystoprostatvesicleectomy with extended pelvic lymph node dissection and orthotopic ileal bladder substitution. His upper urinary tract on both sides was drained by ureteral stents with external diversion. The eccentric suturing technique makes it possible to form an oval-shaped urinary reservoir that is anatomically and functionally most comparable to a healthy man's bladder.

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About the authors

P. V Glybochko

I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia; Research Institute of Uronephrology and Human Reproductive Health

Email: rektorat@mma.ru
Academician of the RAS, Ph.D., M.D., Prof., Rector

Yu. G Alyaev

I.M. Sechenov First MSMU of Minzdrav of Russia

Email: ugalyaev@mail.ru
Corr.-Member of the RAS, Dr.Med.Sci., Prof., Head of Department of Urology

E. V Shpot'

I.M. Sechenov First MSMU of Minzdrav of Russia

Email: shpot@inbox.ru
Ph.D., Associate Professor at the Department of Urology

A. M Pshikhachev

I.M. Sechenov First MSMU of Minzdrav of Russia

Email: pshich@yandex.ru
Ph.D., Doctoral Candidate at the Research Institute for Uronephrology and Human Reproductive Health

K. M Mosyakova

I.M. Sechenov First MSMU of Minzdrav of Russia

Email: cristina.imago27@yandex.ru
Ph.D. Student at the Department of Urology

A. S Nikolaeva

I.M. Sechenov First MSMU of Minzdrav of Russia

Sixth Year Student

References

  1. World Health Organization Consensus Conference on Bladder C., Hautmann R.E., Abol-Enein H., Hafez K., Haro I., Mansson W., et al. Urinary diversion. Urology. 2007 ;69(1 Suppl):17-49. Doi: 10.1016.
  2. Laparoscopic versus Open Radical Cystectomy in Bladder Cancer: A Systematic Review and Meta-Analysis of Comparative Studies. Kun Tang equal contributor, Heng Li equal contributor, Ding Xia, Zhiquan Hu, Qianyuan Zhuang, Jihong Liu, Hua, Xu mail, Zhangqun Ye. PLoS One 2014;16;9(5):e95667. Epub 2014 May 16.

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