[Technique and results of the "Mini-Bricker" urinary tract diversion after total cystectomy for bladder tumors].
The authors have performed a "Mini-Bricker" operation in 24 patients with bladder cancer. This technique consists of urinary diversion in which the size of the intestinal loop is reduced to an average of 4 cm and the ureteroileal anastomosis is performed end-to-end in order to allow subsequent endourological procedures, if necessary. The postoperative course was uneventful in 71% of cases. Seven early complications were reported: 3 infectious, 1 thromboembolic and 2 hernias. In the medium term, one case of disturbances and 2 stenoses of the ureteroileal anastomosis were treated by endoscopic dilatation. The median follow-up is 3 years and 5 patients have died. A retrospective survey of quality of life revealed that 86% of patients were satisfied with their diversion and rapidly acquired autonomy following cystectomy without the need for retraining and without having to get up at night.
Pfister
C
C
Département d'Urologie du C.M.C. de la Porte de Choisy, Paris.
Prapotnich
D
D
Mombet
A
A
Veillon
B
B
Brisset
J M
JM
Vallancien
G
G
D000368:Aged; D000369:Aged, 80 and over; D015653:Cystectomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000379:methods* / Q000523:psychology
Technique et résultats du "Mini-Bricker" dans la dérivation des voies urinaires après cystectomie totale pour tumeur de vessie.