title: [A novel technique of ureterointestinal anastomosis for urinary diversion].
abstract: OBJECTIVE
  To introduce a novel technique of ureterointestinal anastomosis for urinary diversion and report the preliminary clinical data.
  
  
  METHODS
  Between June 2007 and June 2011, a total of 50 patients underwent radical cystectomy and ileal neobladder for invasive bladder carcinoma or carcinoma in situ. A novel, separate and direct end-to-end technique for ureteral reimplantation to the entrance of a segment of ileum was applied. in all patients. Details are as follow. The entrance of afferent loop was divided equally in to two lumens. Then each ureter was directly, end-to-end anastomosed to the above lumens respectively after lengthwise incisions for 1.5 cm. The mean follow-up period was 22 months (range, 3 - 48 months).
  
  
  RESULTS
  Ureterointestinal anastomosis was performed successfully in 100 units. The operative durations were (18.4 ± 4.2) minutes. Ureteral stricture developed in 4 of 100 (4%) units and refluxing in 6 of 100 (6%) units. One patient with stricture was successful repaired by balloon dilation.
  
  
  CONCLUSIONS
  With low stricture and reflux rates, this novel procedure of ureterointestinal anastomosis is simple to handle and worthy of further promotion.
authors.affiliation: Department of Urology, Capital Medical University, Beijing, China. nianzeng2006@vip.sina.com
authors.forename: Nian-zeng
authors.initials: NZ
authors.lastname: Xing
authors.forename: Li-ming
authors.initials: LM
authors.lastname: Song
authors.forename: Yi-nong
authors.initials: YN
authors.lastname: Niu
authors.forename: Jun-hui
authors.initials: JH
authors.lastname: Zhang
authors.forename: Jian-wen
authors.initials: JW
authors.lastname: Wang
authors.forename: Xi-quan
authors.initials: XQ
authors.lastname: Tian
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D002277:Carcinoma / Q000601:surgery*; D002295:Carcinoma, Transitional Cell / Q000601:surgery*; D015653:Cystectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*