[A method for forming a large-intestine reservoir for the urine].
Eighteen patients with cancer of the urinary bladder underwent cystectomy with formation of a large intestinal reservoir for urine. The terminal large intestinal portion, 15-20 cm, the cecum, the ascending colon, and the hepatic angle of the colon were excluded to produce a reservoir from the intestinal tube. Appendectomy was performed. The continuity of the intestinal tube was restored via ileotransversostomy. The ureters were retroperitoneally grafted into the cecum by using antireflux and antistricture techniques. The ileocecal valve was clinico-anatomically examined. A device restraining urine was formed on an individual basis in relation to the function of Bauhin's valve. Cutaneous urinostoma ("dry") was formed epicutaneously in the right iliac region below the umbilicus. Three patients died in the postoperative period. Complete urine keeping was observed in 14 of 15 patients. The maximal capacity of the reservoir is 500 ml, the pressure is 30-40 cm H2O. Homeostasis and intestinal function were found to be normal.
Gotsadze
D T
DT
Nemsadze
G G
GG
Chigogidze
T G
TG
Daneliia
E V
EV
Pirtsakhalaishvili
G G
GG
Chovelidze
Sh G
ShG
D000328:Adult; D000368:Aged; D002102:Cadaver; D015653:Cystectomy; D005260:Female; D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery; D007420:Intestine, Large / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*
Metodika formirovaniia dlia mochi tolstokishechnogo rezervuara.