medigraphic.com

2000, Number 2

<< Back Next >>

Rev Med Hosp Gen Mex 2000; 63 (2)

Use of Indiana pouch after radical cistectomy for bladder invasive cancer

Gutiérrez-Godínez FA, Torres-Saunders C, Manzanilla-García H, Castañeda-Sánchez JJ

Language: Spanish
References: 22
Page: 86-90
PDF size: 125.59 Kb.


ABSTRACT

The experience in the accomplishment of the Indiana continent urinary reservoir at the General Hospital of Mexico in patients after cistectomy because of invasive bladder cancer is here given. Material and methods: We performed 24 Indiana continent urinary reservoir in 17 men and 7 women at the General Hospital of Mexico, from January 1995 to September 1997. The age average was of 49.2 years old. An evaluation of the surgical time, immediate, mediate, and late complications, the capacity and functionality of the reservoir and the integration of the patient to social life was done. Results: The basic disease was bladder cancer. The average surgery time was of 5.5 hours to perform cistectomy and the pouch. The most frequent complications, immediate, mediate and late ones were: urinary infection in 5 patients (20.8%), metabolic acidosis in 3 patients (12.5%), we had a case of total necrosis of the pouch, 1 case of lithiasis in the reservoir 1 dehiscence of the uretero-colonic anastomosis and two septic shocks, the functionality of the reservoir was evaluated clinical radiological and urodynamically. Conclusions: The Indiana continent urinary reservoir is a good alternative in patients who underwent cistectomy. The skillfulness of the technique diminishes the surgical time employed and the complications in important figures.


REFERENCES

  1. Simon G. Ectopia vesicae: Operation for directing the orifices of ureters into the rectum. Lancet 1852: 568-574.

  2. Davis J, Jones E. Paediatric and adult reconstructive Surgery. 2nd ed. Baltimore: William and Wilkins, 1987.

  3. Glenn JF. Complication of Indiana pouch. Urol Surg 1983; 137: 1131-1135.

  4. Gutiérrez G, Barroso S. Derivaciones urodigestivas. Rev Mex Urol 1990; 50: 10-116.

  5. Hinmann F. This month investigative urology. Urinary reservoirs and pelvic malignancy. J Urol 1989; 142: 1216-1289.

  6. Henriet M, Neyra P, Elman B. Kock procedures. Continuing experience and evolution in 135 cases. J Urol 1991; 146: 16-20.

  7. Masson W, Davidson T, Collen S. Destubularized right colonic segment as urinary reservoir. Evolution of technique of continent diversions. J Urol 1990; 144: 1359-1361.

  8. Rowland R. Reservorios urinarios continentes. Surg Clin North Am 1988; 5: 67-71.

  9. Kevin DK, Libertino J. Tratamiento de las complicaciones urinarias y digestivas después de las derivaciones urinarias. Urol Clin North Am 1991; 15: 49-61.

  10. McDougal W, Scott W. Metabolic complications of urinary diversions. J Urol 1992; 147: 1199-1208.

  11. Malone P, Ransley R, Kiely E. Preliminary report. The anterograde continence enema. Lancet 1990; 336: 1217-1218.

  12. Donadio F. Papel de la timoestimulina en la prevención de las infecciones en pacientes neoplásicos sometidos a cirugía. Clin Onc Prog 1988; 2 (1): 397-404.

  13. Basoli A. El paciente quirúrgico con riesgo séptico, profilaxis con timoestimulina. Cir Esp 1988; 44 (1): 36-37.

  14. Wilson T, Moreno J, Weinberg A, Ahlering T. Late complications of modified Indiana pouch. J Urol 1994; 15 (2): 331-334.

  15. Bejany D, Suarez G, Peñalver M, Politano V. Nontunneled ureterocolonic anastomosis. An alternative to the implantation. J Urol 1989; 142: 961-963.

  16. Guillon G, Mundy A. The dissolution of urinary mucus after cistoplasty. Br J Urol 1989; 63: 372-374.

  17. Cohen T, Streem. Minimally invasive endourologic management of calculi in continent urinary reservoir. Urol 1994; 43 (6): 865-868.

  18. Salome F, Paulac P, Hodonou R, Colombeau P, Pfeifer P. The Indiana pouch: A technique for simple continent urinary diversion. Pro Urol 1997; 7 (3): 415-421.

  19. Navon J, Wong A, Weinberg A, Ahlering T. A comparative study of postoperative complications associated with modified Indiana pouch in elderly versus young patients. J Urol 1995; 154 (4): 1325-1328.

  20. Arai Y. Evolving experience with urinary diversion using the Indiana pouch. Int J Urol 1991; 1 (3): 241-245.

  21. Ahlering T, Weinberg A, Razor B. The modified Indiana pouch. Act Urol Belg 1991; 59 (2): 135-145.

  22. Taguchi K, Hirose, Ito N, Kumamoto T. Functional outcome and late complications in patients with continent urinary reservoirs. Int J Urol 1997; 4 (2): 134-138.




2020     |     www.medigraphic.com