Laparoscopic radical cystectomy with intracorporeally constructed Y-shaped orthotopic ileal neobladder using nonabsorbable titanium staples exclusively.
Increasing evidence in published reports has suggested that titanium staples may be well tolerated inside the urinary tract. Recently, the Italian Group from Piedmont described an "easy, fast, and reliable" technique of a Y-shaped ileal neobladder that was created during open surgery with nonabsorbable mechanical staples. They observed an acceptable 6% rate of stone formation at a median follow-up of 20 months (range 8 to 47). We describe our initial experience with laparoscopic Y-shaped orthotopic ileal neobladder constructed entirely intracorporeally using titanium staples exclusively in an attempt to mitigate the time-consuming and skill-intensive task of freehand suturing required during laparoscopic creation of continent reservoirs.
Abreu
Sidney C
SC
Federal University of Ceará, Fortaleza, Ceará, Brazil. sidneyabreu@hotmail.com
Fonseca
Gilvan N
GN
Cerqueira
João Batista G
JB
Nóbrega
Marciano S
MS
Costa
Márcio R
MR
Machado
Pedro C
PC
D000368:Aged; D015653:Cystectomy / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D010535:Laparoscopy; D008297:Male; D013537:Sutures; D014025:Titanium; D001743:Urinary Bladder / Q000601:surgery*; D016476:Urinary Reservoirs, Continent
D014025:Titanium