Laparoscopic radical cystectomy with intracorporeally constructed Y-shaped orthotopic ileal neobladder using nonabsorbable titanium staples exclusively.

Abreu, Sidney C; Fonseca, Gilvan N; Cerqueira, João Batista G; Nóbrega, Marciano S; Costa, Márcio R; Machado, Pedro C

Abreu, Sidney C; Fonseca, Gilvan N; Cerqueira, João Batista G; Nóbrega, Marciano S; Costa, Márcio R; Machado, Pedro C.

Afiliação

Abreu SC; Federal University of Ceará, Fortaleza, Ceará, Brazil. sidneyabreu@hotmail.com

Urology ; 66(3): 657, 2005 Sep.

Article em En | MEDLINE | ID: mdl-16140102

RESUMO

Increasing evidence in published reports has suggested that titanium staples may be well tolerated inside the urinary tract. Recently, the Italian Group from Piedmont described an "easy, fast, and reliable" technique of a Y-shaped ileal neobladder that was created during open surgery with nonabsorbable mechanical staples. They observed an acceptable 6% rate of stone formation at a median follow-up of 20 months (range 8 to 47). We describe our initial experience with laparoscopic Y-shaped orthotopic ileal neobladder constructed entirely intracorporeally using titanium staples exclusively in an attempt to mitigate the time-consuming and skill-intensive task of freehand suturing required during laparoscopic creation of continent reservoirs.

Assuntos

Cistectomia/métodos; Íleo/transplante; Laparoscopia; Suturas; Bexiga Urinária/cirurgia; Coletores de Urina; Idoso; Humanos; Masculino; Titânio

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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Suturas / Bexiga Urinária / Cistectomia / Coletores de Urina / Laparoscopia / Íleo Limite: Aged / Humans / Male Idioma: En Revista: Urology Ano de publicação: 2005 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

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