Laparoscopic creation of a catheterizable cutaneous ureterovesicostomy.
Urology
; 49(2): 272-5, 1997 Feb.
Article
em En
| MEDLINE
| ID: mdl-9037296
ABSTRACT
Nephrectomy and creation of a cutaneous ureterovesicostomy for intermittent catheterization of the bladder traditionally requires two surgical procedures performed through separate incisions. Herein we report completion of these procedures using a transperitoneal laparoscopic approach, with the ureterovesicostomy stoma created at one of the laparoscopic working ports. The clinical course was remarkable for a shortened postoperative hospitalization (48 hours) with minimal incisional pain, and an excellent long-term result with complete bladder emptying and resolution of urinary infections. Laparoscopic application of the Mitrofanoff principle for creation of a catheterizable cutaneous ureterovesicostomy combines the advantages of both, allowing optimal preservation of ureteral vascularity, minimal morbidity, and efficient bladder evacuation.
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Bases de dados:
MEDLINE
Assunto principal:
Cistostomia
/
Ureterostomia
/
Cateterismo
/
Laparoscopia
Limite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
Urology
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos