My ePortfolio Register   

Abstract | Full HTML Article | PDF ecancer 7 301 / DOI: 10.3332/ecancer.2013.301


Ileal conduit post radical cystectomy: modifications of the technique

Introduction: Ileal conduit, post radical cystectomy, is currently the most practiced type of urinary diversion. The aim of our study was to modify the ileal conduit technique in order to retain acceptable outcomes while decreasing the rate of postoperative urine leak and ureteroileal stricture.

Methods: Forty consecutive patients were included in our study, from January to June 2011. Radical cystectomy and ileal conduit using our modifications were done for all the cases. Follow-up was done for one year. One patient with right pelvic kidney was added to the studied group and was managed by extra modification to our technique.

Results: The mean age of the patients was 63 years. No significant leak and no stricture were observed within the modest duration of follow-up. When a left upper urinary tract retrograde study was attempted in one patient, the left ureteric orifice could not be reached due to a redundant elongated ileum.

Conclusions: Modified Bricker techniques are safe, avoid early postoperative urine leak, and lower the incidence of ureteroileal anastomotic stricture. Using our modifications, retrograde access of the left ureter may not be possible. The ‘Z’ ileal conduit is a feasible technique that can allow tension-free healthy ureteroileal anastomosis for cases with pelvic right kidney and, probably, post renal transplantation.

Keywords: Bladder cancer, Radical cystectomy, Ileal conduit, Pelvic kidney

Loading Article Metrics ... Please wait

Related articles

Conference Report: Highlights from the 14th St Gallen International Breast Cancer Conference 2015 in Vienna: Dealing with classification, prognostication, and prediction refinement to personalize the treatment of patients with early breast cancer

Abstract | Full Article | PDF Published: 31 Mar 2015 / DOI: 10.3332/ecancer.2015.518

Review: Current management approach to hidradenocarcinoma: a comprehensive review of the literature

Abstract | Full Article | PDF Published: 19 Mar 2015 / DOI: 10.3332/ecancer.2015.517

Case Report: Uterine leiomyosarcoma with central nervous system metastases

Abstract | Full Article | PDF Published: 05 Mar 2015 / DOI: 10.3332/ecancer.2015.515

Conference Report: Report from the 37th San Antonio Breast Cancer Symposium, 9–13th December 2014, Texas, USA

Abstract | Full Article | PDF Published: 04 Feb 2015 / DOI: 10.3332/ecancer.2015.508

Special Issue: Fertility sparing treatment in borderline ovarian tumours

Abstract | Full Article | PDF Published: 03 Feb 2015 / DOI: 10.3332/ecancer.2015.507

Founding partners

European Cancer Organisation European Institute of Oncology

Founding Charities

Foundazione Umberto Veronesi Fondazione IEO Swiss Bridge

Published by

Cancer Intelligence