Ileal low-pressure bladder replacement: Camey type II. Stapling technique and preliminary results (57 cases, 1987-1989).
In keeping with the basic principles of Camey's procedure and with a view to improve continence, we decided in 1987 to experiment with the technique of ileal low-pressure bladder replacement (Camey II). We introduced the stapling technique in order to save time and to obtain watertight, reliable sutures. 57 patients underwent a Camey II intervention following radical cystectomy. Follow-up was 3-24 months. No operation mortality was observed and only 5 perioperative complications were recorded. Continence during the day and at night increased rapidly with Camey II (50% at 3 months, 90% at 6 months). Camey II improves the patients' quality of life; the procedure is simple, fast and reliable thanks to the stapling technique.
Leandri
P
P
Department of Urology, Saint Jean Languedoc Cerou, Toulouse, France.
Rossignol
G
G
Gautier
J R
JR
Quintens
H
H
Lasserre
E
E
Caissel
J
J
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D015653:Cystectomy / Q000534:rehabilitation*; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011312:Pressure; D013528:Surgical Staplers; D014513:Ureter / Q000601:surgery; D014521:Urethra / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014554:Urination / Q000502:physiology