A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE

Aim. Improvement of surgical treatment results of patients who underwent cystectomy and orthotopic bladder replacement with an intestinal reservoir by forming antireflux ureterocystoanastomosis.Materials and methods. With the help of this method we have performed 18 surgeries on patients aged 50-68....

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Main Authors: V. M. Durleshter, G. J. Zamulin, A. G. Penzhoian
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2018-05-01
Series:Кубанский научный медицинский вестник
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Online Access:https://ksma.elpub.ru/jour/article/view/1133
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author V. M. Durleshter
G. J. Zamulin
A. G. Penzhoian
author_facet V. M. Durleshter
G. J. Zamulin
A. G. Penzhoian
author_sort V. M. Durleshter
collection DOAJ
description Aim. Improvement of surgical treatment results of patients who underwent cystectomy and orthotopic bladder replacement with an intestinal reservoir by forming antireflux ureterocystoanastomosis.Materials and methods. With the help of this method we have performed 18 surgeries on patients aged 50-68. The period of treatment has been from 1 to 48 months. Indications for surgery: bladder cancer сT2NoMo. All reservoirs have been formed with the application of the intestine detubularization principles. The follow-up of the patients was conducted after 1, 3, 6, 12 months and further after six months. Anatomical and functional state of the urinary reservoir, the upper urinary tract (ultrasound, spiral computed tomography with contrast, mictional cystourethrography and dynamic radioisotope renography) was checked and controlled; laboratory tests were done.Results.Theobtainedpreliminarydataarenotinferiorineffectivenesstoothermethods. Concavitiesureterocystoanastomosis has full patency and all the functions of the antireflux mechanism.Conclusion. The developed method of ureteroneocystostomy has a reliable antireflux mechanism that allows using it in situations when it is necessary to perform the transplant of one or both ureters into the intestinal reservoir.
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spelling doaj-art-a8e6deea14984916b45fbf580f79c98a2025-08-04T13:05:12ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442018-05-01252727710.25207/1608-6228-2018-25-2-72-77924A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINEV. M. Durleshter0G. J. Zamulin1A. G. Penzhoian2Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian FederationState Budgetary Healthcare Institution Regional Clinical Hospital № 2 of the Ministry of Healthcare of the Russian FederationState Budgetary Healthcare Institution Regional Clinical Hospital № 2 of the Ministry of Healthcare of the Russian FederationAim. Improvement of surgical treatment results of patients who underwent cystectomy and orthotopic bladder replacement with an intestinal reservoir by forming antireflux ureterocystoanastomosis.Materials and methods. With the help of this method we have performed 18 surgeries on patients aged 50-68. The period of treatment has been from 1 to 48 months. Indications for surgery: bladder cancer сT2NoMo. All reservoirs have been formed with the application of the intestine detubularization principles. The follow-up of the patients was conducted after 1, 3, 6, 12 months and further after six months. Anatomical and functional state of the urinary reservoir, the upper urinary tract (ultrasound, spiral computed tomography with contrast, mictional cystourethrography and dynamic radioisotope renography) was checked and controlled; laboratory tests were done.Results.Theobtainedpreliminarydataarenotinferiorineffectivenesstoothermethods. Concavitiesureterocystoanastomosis has full patency and all the functions of the antireflux mechanism.Conclusion. The developed method of ureteroneocystostomy has a reliable antireflux mechanism that allows using it in situations when it is necessary to perform the transplant of one or both ureters into the intestinal reservoir.https://ksma.elpub.ru/jour/article/view/1133urinary reservoirintestinal urine derivationureterorenoscopesreservoir-ureteral refluxantireflux protection
spellingShingle V. M. Durleshter
G. J. Zamulin
A. G. Penzhoian
A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
Кубанский научный медицинский вестник
urinary reservoir
intestinal urine derivation
ureterorenoscopes
reservoir-ureteral reflux
antireflux protection
title A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
title_full A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
title_fullStr A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
title_full_unstemmed A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
title_short A METHOD OF FORMING ANTIREFLUX URETEROCYSTOANASTOMOSIS AFTER BLADDER REPLACEMENT WITH A RESERVOIR FROM INTESTINE
title_sort method of forming antireflux ureterocystoanastomosis after bladder replacement with a reservoir from intestine
topic urinary reservoir
intestinal urine derivation
ureterorenoscopes
reservoir-ureteral reflux
antireflux protection
url https://ksma.elpub.ru/jour/article/view/1133
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