完全腹膜后皮下输尿管造口术配合机器人辅助根治性膀胱切除术

Q4 Medicine IJU Case Reports Pub Date : 2024-03-05 DOI:10.1002/iju5.12717

Shiori Tanaka, Goshi Kitano, Manabu Kato, Yuji Ogura, Takahiro Kojima

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引用次数: 0

摘要

皮肤输尿管造口术对处于低营养状态的老年患者有益，与肠道重建技术相比，它提供了创伤较小的选择。然而，由于输尿管的解剖位置，回肠和造口部位疝气等并发症仍然存在风险。我们介绍了一种新方法--完全腹膜后皮下输尿管造口术，该手术与机器人辅助根治性膀胱切除术同时进行。完全腹膜后皮下输尿管造口术的中位手术时间约为30分钟。术后1个月和4个月的无支架率分别为66.7%和100%；未报告一例支架取出后重新植入的病例。

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Complete retroperitoneal cutaneous ureterostomy with robot-assisted radical cystectomy

Introduction

Cutaneous ureterostomy is beneficial for older patients in a hypoalimentation state, providing less invasive options than intestinal tract reconstruction techniques. However, complications such as ileus and stoma site hernia still pose risks owing to the anatomical location of the ureter. We introduce a novel method, complete retroperitoneal cutaneous ureterostomy, performed simultaneously with robot-assisted radical cystectomy.

Case presentation

Our technique involves extending the retroperitoneal space to minimize complications and achieve stent-free outcomes. The median procedure time for complete retroperitoneal cutaneous ureterostomy was approximately 30 min. The stent-free rates at 1 and 4 months postoperatively were 66.7% and 100%, respectively; no case of stent reinsertion after stent removal was reported.