[Urinary diversions: our experience and selection approach].
Retrospective review of 126 urinary by-passes performed in our service over the last 15 years where efficacy and complications arisen from the ureteroileal by-passes, ureterosigmoidostomy and skin ureterostomy are analyzed. Patients were found to be pre-operatively homogeneous with no statistically significant differences with regard to age, renal function or previous radiotherapy, except in the case of ureterostomies which are always initiated from a poorer renal function and general condition. It was concluded that there was no difference between the various Bricker types according to the anastomosis, which allows joint a comparison with other groups. After three months, Bricker's showed better radiologic evolution than Goodwin's (p less than 0.08) and a statistically lower number of complication (p less than 0.05) therefore establishing they should be the choice procedure versus any other type of by-pass. Literature review with regard to results and conditions of container reservoirs and vesical substitutions, evaluating their contraindications within the neoplastic scope and/or psychosocial range, as well as comparing the reflux, stenosis and infection rates with our series, make the ureteroileal by-pass a technique entirely legitimate at present.
Armora Mani
J
J
Hospital Príncipes de España, L'Hospitalet, Barcelona.
Muñoz Segui
J
J
Aguiló Lucia
F
F
Franco Miranda
E
E
Pérez Céspedes
M
M
López Costea
M A
MA
Serrallach Mila
N
N
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D012809:Colon, Sigmoid / Q000601:surgery; D000075202:Contraindications; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D014519:Ureterostomy; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods* / Q000523:psychology
Derivaciones urinarias: nuestra experiencia y actitud de selección.