Bladder Cancer Clinical Trial
Official title:
Preliminary Report Following A Modified Uretero-Ileal Anastomosis in An Ileal Neobladder Combining Wallace Technique With an Extramural Subserous Tunnel in a Single Trough: Our Initial Short-term Results
there are many techniques for uretero-ileal anastomosis some of them are antirefluxing for
protection of the upper urinary tract with many complications including strictures and
pyelonephritis with difficult technical issues and long operation time so a modified
technique combining the 2 ureter by wallace technique and implanted them in a single trough
in the neobladder making the surgery easier and shorter.
this technique was done after informed consent in 45 patients with muscle invasive bladder
cancer candidate for radical cystectomy and ileal neobladder diversion
This was a prospective study conducted from 2014 to 2017 in Ain shams university, 73 patients
were enrolled from outpatient clinic diagnosed with muscle invasive bladder cancer and
candidate for radical cystectomy and orthotopic urinary diversion, 45 patients were included
according to patient's acceptance and the inclusion and exclusion criteria.
After having a written informed consent, all selected patients were assessed by detailed
history and physical examination, contrast enhanced pelvi-abdominal Computed tomography (CT)
scan (for patients with serum creatinine <1.5 mg/dl). Laboratory investigations in the form
of complete blood count, coagulation profile, electrolytes, renal and liver function tests.
Bowel preparation was done to all patients one or two days before operation.
Cases were diverted using a U-shaped pouch with uretero-ileal anastomosis done in a single
trough combining the extramural serous-lined tunnel and Wallace techniques.
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