title: Cutaneous ureterostomy using the transverse mesocolon.
abstract: Cutaneous ureterostomy cannot be carried out by the retroperitoneal method in cases showing an insufficient length of the available ureter. We therefore proposed and carried out cutaneous ureterostomy transperitoneally on a ureter of minimum length using the transverse mesocolon. The right and left ureters are drawn from the retroperitoneum into the peritoneal cavity in the renal hilus area. The right ureter is then led from the root of the transverse mesocolon to the area attached to the transverse colon under the subserous part of the transverse mesocolon, and penetrates the gastrocolic ligament. The left ureter is led to the area attached to the transverse mesocolon under the subserous part of the transverse mesocolon, and penetrates the transverse mesocolon, bursa omentalis and gastrocolic ligament. Next, both the right and left ureters are drawn up to the abdominal wall and a ureterstoma is constructed. The transverse mesocolon can be used as supporting tissue for the ureter. Furthermore, this also ensures blood flow in the ureter.
authors.affiliation: Department of Urology, National Kyushu Cancer Center, Fukuoka, Japan. furubayashi.n@nk-cc.go.jp
authors.forename: Nobuki
authors.initials: N
authors.lastname: Furubayashi
authors.forename: Motonobu
authors.initials: M
authors.lastname: Nakamura
authors.forename: Ken
authors.initials: K
authors.lastname: Hishikawa
authors.forename: Atushi
authors.initials: A
authors.lastname: Fukuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Matumoto
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Hasegawa
mesh_terms: D044684:Colon, Transverse / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D008646:Mesocolon / Q000601:surgery*; D014515:Ureteral Diseases / Q000601:surgery*; D014519:Ureterostomy / Q000379:methods*