A retrosigmoid ileal conduit might prevent ureteroileal anastomotic stricture after ileal conduit diversion

Gomes, Cristiano Mendes; Laferreira, Luccas Soares

doi:10.21037/tau.2018.10.10

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Strictures are hypothesized to originate largely from distal ischemia, thereby explaining the large portion of left-sided strictures. The growing interest in the left ureter and the level of resection in RC suggest a need for a new ileal conduit [8] , [9] , [10] , [17] .…”

Section: Discussionmentioning

confidence: 99%

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DaBlaCa-16: Retrosigmoid Versus Conventional Ileal Conduit in Robot-assisted Radical Cystectomy, the MOSAIC Randomized Controlled Trial—Feasibility and 90-day Postoperative Complications

Brandt,

Körner,

Milling

et al. 2024

European Urology Open Science

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Section: Discussionmentioning

confidence: 99%

“…Previously, a few small nonrandomized studies have investigated a retrosigmoid ileal conduit with the intent to lower the risk of strictures [8] , [9] , [10] . The ileal segment used for the retrosigmoid conduit is longer than the conventional conduit.…”

Section: Introductionmentioning

confidence: 99%

DaBlaCa-16: Retrosigmoid Versus Conventional Ileal Conduit in Robot-assisted Radical Cystectomy, the MOSAIC Randomized Controlled Trial—Feasibility and 90-day Postoperative Complications

Brandt,

Körner,

Milling

et al. 2024

European Urology Open Science

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Ileal Ureter Utilization in Patients with Previous Urinary Diversions

Singh¹

2023

Urology

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Retrosigmoid ileal conduit without transposition of the left ureter after open radical cystectomy for bladder cancer

et al. 2021

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To assess perioperative outcomes, complications, and rate of uretero-ileal anastomotic stricture (UAS) in patients undergoing retrosigmoid ileal conduit after radical cystectomy (RC). Patients and MethodsClinical records of consecutive patients receiving retrosigmoid ileal conduit after open RC for bladder cancer between March 2016 and June 2020 at two academic centres were prospectively collected. Two expert surgeons performed all cases. Operating room (OR) time, estimated blood loss (EBL), transfusion rate, and 90-day postoperative complications classified according to the Clavien-Dindo system, were assessed. In particular, rate of UAS, defined as upper urinary tract dilatation requiring endourological or surgical management, was evaluated. ResultsA total of 97 patients were analysed. The median (interquartile range [IQR]) OR time was 245 (215-290) min, median (IQR) EBL was 350 (300-500) mL, and blood transfusions were given to 15 (15.5%) cases. There were no intraoperative complications. There were 90-day postoperative complications in 33 patients (34%), being major (Grade III-V) in 19 (19.6%). Two patients died from early postoperative complications. At a median (IQR) follow-up of 25 (14-40) months, there was only one case (1%) of UAS, involving the right ureter and requiring an open uretero-ileal re-implantation. ConclusionThe retrosigmoid ileal conduit is a safe and valid option for non-continent urinary diversion after RC, ensuring a very low risk of UAS at an intermediate-term follow-up.

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A retrosigmoid ileal conduit might prevent ureteroileal anastomotic stricture after ileal conduit diversion

Cited by 3 publications

References 22 publications

DaBlaCa-16: Retrosigmoid Versus Conventional Ileal Conduit in Robot-assisted Radical Cystectomy, the MOSAIC Randomized Controlled Trial—Feasibility and 90-day Postoperative Complications

DaBlaCa-16: Retrosigmoid Versus Conventional Ileal Conduit in Robot-assisted Radical Cystectomy, the MOSAIC Randomized Controlled Trial—Feasibility and 90-day Postoperative Complications

Ileal Ureter Utilization in Patients with Previous Urinary Diversions

Retrosigmoid ileal conduit without transposition of the left ureter after open radical cystectomy for bladder cancer

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