Continent cutaneous diversion

Skinner, Eila C.

doi:10.1097/mou.0000000000000225

Cited by 15 publications

(5 citation statements)

References 41 publications

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“…Continent cutaneous diversion is rarely performed today in conjunction with RC . In patients undergoing RC in Sweden for primary bladder cancer, 19% received such a diversion in 1997, while this figure was only 1% in 2014 (The Swedish Quality Registry for Bladder Cancer 2014) .…”

Section: Discussionmentioning

confidence: 99%

Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Guðjónsson

Bendahl

et al. 2017

BJU International

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Section: Discussionmentioning

confidence: 99%

Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Guðjónsson

Bendahl

et al. 2017

BJU International

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“…Континентные гетеротопические катетеризируемые кишечные резервуары срав-нительно редко используются хирургами ввиду сложности формирования механизма удержа-ния мочи, длительности и скрупулезности опе-рации, сложности ее воспроизведения и недоста-точной удовлетворенности функциональными результатами [7]. Так в США всего несколько центров выполняют подобные операции [8]. Те немногочисленные центры, которые на регуляр-ной основе успешно проводят данные операции с хорошими функциональными результатами, считают их оптимальной альтернативой ортото-пической интестиноцистопластике [9].…”

Section: Methodsunclassified

Heterotopic Continent or Incontinent Urinary Diversion:making the Optimal Choice

Perepechay¹,

Анатольевич²,

Spitsyn³

et al. 2017

Journal of Clinical Practice

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Введение. Качество жизни и выживаемость пациентов после цистэктомии (ЦЭ) зависит от способов уродеривации [1,2].Цель исследования. Сравнить морбидность, выживаемость и качество жизни больных при гетеротопической континентной и инконтинентной уродеривациях.Материал и методы. С 1998 по 2016 г выполнены 36 гетеротопических тонкокишечных дери-ваций с механизмом удержания мочи по Kock pouch в собственной модификации и 61 -инкон-тинентная гетеротопическая тонкокишечная по Bricker. Оценивали сопутствующую патологию (индекс коморбидности Charlson), послеоперационные осложнения (по Clavien-Dindo), выжи-ваемость (по E.L. Kaplan, P. Meier), качество жизни больных (SF-36) с комплексным статистичес-ким анализом.Результаты. Ранние и поздние осложнения, не связанные и связанные с уродеривацией, пре-обладали в группе операций по Bricker с отсутствием статистической достоверности. С увеличе-нием срока послеоперационного мониторинга нарастает удельный вес связанных с уродериваци-ей осложнений, а частота отсроченных осложнений и выживаемость не имеют статистической разницы в обеих группах. Не получено достоверных различий в качестве жизни при всех накож-ных вариантах уродериваций.Обсуждение. 80% пациентов после операции Kock pouch (мод.) и среднем сроке наблюдения более 5 лет остаются континентными и имеют высокое качество жизни. Необходима разработка и внедрение в клиническую практику новых, более совершенных статистических инструментов оценки качества жизни пациентов в зависимости от типа деривации мочи после ЦЭ.Заключение. Континентная гетеротопическая деривация (Kock pouch (мод.)) в сравнении с инконтинентной (Bricker) не приводит к увеличению морбидности, снижению выживаемости и обусловливает более высокое качество жизни.Ключевые слова: цистэктомия, деривация мочи, гетеротопическая, континенция, качество жизни. HETEROTOPIC CONTINENT OR INCONTINENT URINARY DIVERSION:MAkING THE OPTIMAL CHOICE Perepechay V.A., Spitsyn I.M., Vasilyev O.N., Kogan M.I.Introduction. Quality of life and survival rate of post-cystectomy patients depend on the urinary diversion methods [1,2].Purpose of the study. A comparison of morbidity, survival rate, and quality of life in patients after heterotopic continent or incontinent urinary diversions.

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“…1 A right colon pouch urinary diversion relies upon de-tubularization of the cecum and ascending colon to create a spherical low-pressure reservoir or pouch. 2 A continent cutaneous catheterizable channel is also created, most often utilizing a segment of terminal ileum or appendix, which a patient catheterizes as the "efferent channel" to empty the pouch. This procedure is highly complex and has been suggested to have a higher rate of complications compared to the ileal conduit.…”

Section: Introductionmentioning

confidence: 99%

“…Urinary diversion has a high rate of potential complications . A right colon pouch urinary diversion relies upon de‐tubularization of the cecum and ascending colon to create a spherical low‐pressure reservoir or pouch . A continent cutaneous catheterizable channel is also created, most often utilizing a segment of terminal ileum or appendix, which a patient catheterizes as the “efferent channel” to empty the pouch.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of right colon continent urinary pouch using standardized reporting methods

Myers

Martin

Cheng

et al. 2019

Neurourology and Urodynamics

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Aims Studies of right colon pouch urinary diversion estimate risk of perioperative complications, 1%‐50%, and reoperation, 1%‐69%. This wide range is due to variable outcome measurements and reporting methods; it is also unclear which factors increase the risk of complications and reoperation. We sought to characterize the impact of patient‐specific factors on risk of complications, readmission, and reoperation after right colon pouch urinary diversion. Methods Patients undergoing right colon pouch urinary diversion from January 2010 to April 2017 were analyzed. Outcomes included: high‐grade complications within 90 days (Clavien‐Dindo grade ≥3), readmission within 90 days, and reoperation at any time during follow‐up. Patient‐specific factors were analyzed to establish any associations with these outcomes. Results During the study period, 53 patients underwent the procedure and the average follow‐up was 30 (standard deviation [SD] 21.5) months; 90‐day high‐grade complications were 22% and readmission was 45%. The cumulative rate of any reoperation was 53% and major reoperation was 32%. Diabetes was associated with an increased risk of both postoperative complications and reoperation. Larger body mass index and prior abdominal surgery were associated with increased risk of readmission. Conclusions Overall the rate of postoperative complications, readmissions, and reoperation was high, but in agreement with other contemporary series. This study helps to further characterize surgical outcomes after right colon pouch urinary diversion, however, similar to other studies in the literature, the rarity of the procedure limits the power to establish a link between preoperative patient factors and outcomes.

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Continent cutaneous diversion

Cited by 15 publications

References 41 publications

Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Long‐term third‐party assessment of results after continent cutaneous diversion with Lundiana pouch

Heterotopic Continent or Incontinent Urinary Diversion:making the Optimal Choice

Outcomes of right colon continent urinary pouch using standardized reporting methods

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