Ileosigmoid anastomosis with exclusion of transected ileal loop for intestinal fistula following total cystectomy of bladder cancer. Report of a case.
We report in this article a new technique of surgical treatment of enterocutaneous or enterovaginal fistula after total cystectomy for three cases of bladder cancer. The surgical outcome was successful in these patients, showing good performance status after this operation. It would seem that this technique is a good indication for enteric fistulas in the bottom of the pelvic cavity, which were difficult to be managed even under the control of total parenteral nutrition.
Okabe
S
S
First Department of Surgery, Faculty of Medicine, Tokyo Medical and Dental University, Japan.
Ishikawa
T
T
Tanami
S
S
Kuwabara
H
H
Fukahara
T
T
Udagawa
M
M
Ootsukasa
S
S
Arai
T
T
Maruyama
S
S
Murase
N
N
Yamashita
H
H
Iwai
T
T
D000038:Abscess / Q000209:etiology; D000714:Anastomosis, Surgical; D012809:Colon, Sigmoid / Q000601:surgery*; D017577:Cutaneous Fistula / Q000601:surgery; D015653:Cystectomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D017773:Pelvic Floor; D011183:Postoperative Complications; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014624:Vaginal Fistula / Q000601:surgery; D014945:Wound Healing