[Detubulized Z-shaped +enterocystoplasty following total prostato-cystectomy].
After the completion of the radical cystoprostatectomy and a thorough survey of the dissected pelvis, a small bowel segment 50 to 60 cm long is resected, 20 cm proximal to Bauhin's valve. The small bowel resected is left as it is and as we find it, without rotation folding or twist, forming a Z. It is incised at its antimesenteric border and then the ileal plate is formed with running 3/0 vicryl sutures. The urethra is anastomosed in the lower part of the pouch and there after each ureter is implanted directly in a very simple way. The ureteral catheters are brought directly through the anterior abdominal wall lateral to the rextus muscle. When the omentum is large enough and covers all the dissected pelvis, drainage of the operative site will not be necessary.
Service d'Urologie, Hôpital Foch, Suresnes.
H
H
Botto
J M
JM
Herve
P
P
Barre
D015653:Cystectomy; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D011468:Prostatectomy; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000379:methods*
Entérocystoplastie détubulée en Z après prostato-cystectomie totale.