Extraperitoneal ileal conduit

Gillitzer, R.; Farasaty-Ghazwiny, Mehran; Fritsch, Janine; Schede, Jörg; Hampel, Christian

doi:10.1111/j.1464-410x.2011.10450.x

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…In the extraperitoneal approach, opening of the peritoneum is minimized during RC and PLND, and the peritoneal cavity is reclosed before urinary reconstruction. The application of the extraperitoneal approach to the treatment of bladder cancer has been discussed extensively, and the retrograde extraperitoneal approach requires a thorough knowledge of the anatomy of the extraperitoneal space and methodical dissection, making it inherently superior to the conventional method [ 11 - 16 ]. In the present cohort, the procedure was performed with short operating times, limited exposure of abdominal organs, limited blood loss, low transfusion rates, and high neurovascular bundle preservation rates.…”

Section: Resultsmentioning

confidence: 99%

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Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male bladder cancer: results from a cohort study

et al. 2015

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Background: Bladder cancer is the second most common genitourinary malignancy. Our study was to introduce a standardized surgical procedure of retrograde radical cystectomy and consequent peritoneal cavity reconstruction in localized male bladder cancer. Methods: Eighty-four consecutive male patients with localized bladder cancer (clinical stage T2 or lower) underwent surgery in our institute with the proposed procedure between May 2012 and April 2013. Median age was 65 years (range, 35 to 83 years); patient characteristics, surgical parameters, perioperative complications, pathology, and short-term prognosis were analyzed. Median follow-up was 24 months (range, 18 to 30 months).

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Section: Resultsmentioning

confidence: 99%

“…An extraperitoneal procedure with extraperitonealization of the ileal bladder was introduced to reduce morbidity. This modified procedure significantly improved postoperative recovery of bowel function [ 11 - 16 ].…”

Section: Introductionmentioning

confidence: 99%

Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male bladder cancer: results from a cohort study

et al. 2015

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“…Generally, the mechanism may be caused by mechanical damage and defects of the peritoneum, as well as inflammatory, neurogenic, and hormonal responses [25][26][27], which can lead to pain, intestinal paralysis, intestinal obstruction, abdominal distension, or constipation [28]. It had been previously reported that open RC surgery via the extraperitoneal route has been previously reported to be less disruptive to abdominal organ, intestinal adhesions, and intestinal obstructions [29]. Kulkarni et al[30] also mentioned that keeping the peritoneal cavity intact can prevent inflammation caused by the small bowel with the deperitonealized pelvic wall.…”

Section: Discussionmentioning

confidence: 99%

Extraperitoneal Laparoscopic Radical Cystectomy With Preservation of Fertility for the Treatment of Ewing Sarcoma: The First Report of a Reliable Surgical Method

Yang

Zhang

Zhao

et al. 2022

Urology

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“…The optimal cutoff value for the size of the passage through the rectus abdominis muscle for the prediction of PH development was 2.4 cm. On the contrary, the extraperitoneal route is reported to have a lower incidence of PH in the IC 9,10 similar to that for colostomy 11–13 . However, the procedure is complex and associated with longer operative time and more complications.…”

Section: Objectivesmentioning

confidence: 99%

Development and preliminary evaluation of a novel procedure for creation of an ileal conduit stoma aimed at preventing parastomal hernia

Tanaka,

Yamasaki,

Nofuji

et al. 2024

Int J of Urology

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ObjectivesOur previous study suggested that the operative procedure is critical for the development of parastomal hernia. We developed a novel procedure for the creation of an ileal conduit stoma to prevent parastomal hernia. Herein we evaluate the efficacy and safety of the procedure.MethodsA total of 113 Japanese patients underwent radical cystectomy and ileal conduit diversion for bladder cancer from January 2017 through December 2021 at our institution. After excluding those with incomplete data, 103 patients consisting of 46 (44.7%) with the conventional procedure and 57 (55.3%) with the novel procedure were consecutively enrolled. The main points of the novel procedure are as follows: (1) the passage of the ileal conduit is ≤2.4 cm in diameter in principle; (2) the posterior rectus sheath and peritoneum are vertically incised 2 cm laterally from the middle of the stoma site to make an oblique passage for the ileal conduit; and (3) the anterior rectus sheath and posterior rectus sheath with peritoneum are fixed to the ileal conduit separately.ResultsRadiography‐based parastomal hernia was observed in 11 patients (10.7%) with a median follow‐up of 22.0 months. The incidences of parastomal hernia were 3.5% and 19.6% in the novel and the conventional procedure groups, respectively (p = 0.011). The former had a significantly lower cumulative incidence of parastomal hernia (p = 0.008, log‐rank test). No specific complications associated with the procedure were observed.ConclusionsThe results of the preliminary cohort study suggest that the novel procedure is safe and effective for the prevention of parastomal hernia.

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Extraperitoneal ileal conduit

Cited by 5 publications

References 10 publications

Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male bladder cancer: results from a cohort study

Retrograde radical cystectomy and consequent peritoneal cavity reconstruction benefits localized male bladder cancer: results from a cohort study

Extraperitoneal Laparoscopic Radical Cystectomy With Preservation of Fertility for the Treatment of Ewing Sarcoma: The First Report of a Reliable Surgical Method

Development and preliminary evaluation of a novel procedure for creation of an ileal conduit stoma aimed at preventing parastomal hernia

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