Nerli Rajendra B, Reddy Mallikarjun, Devraju Shishir, Prabha Vikram, Hiremath Murigendra B, Jali Sujata
Department of Urology, KLE University's J N Medical College and KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Belgaum, India.
Indian J Urol. 2012 Jan;28(1):28-31. doi: 10.4103/0970-1591.94951.
The Mitrofanoff principle was originally described as a method to provide an alternative means to access the bladder. It creates a conduit to the bladder through which patients with a sensitive, absent, or traumatized urethra can perform clean intermittent catheterization (CIC) easily. We report our experience with complete laparoscopic Mitrofanoff appendicovesicostomy to promote a catheterizable abdominal stoma.
A 4-port transperitoneal approach was used to create a complete laparoscopic Mitrofanoff appendicovesicostomy.
Six children with a mean age of 12.8 years (range 9-16 years) underwent laparoscopic Mitrofanoff appendicovesicostomy. Mean operative time was 139.6 min and Mean estimated blood loss was 46 cc. No cases of urinary leaks were noted. There have been no cases of either stomal stenosis or appendicovesical stenosis noted.
Pure laparoscopic Mitrofanoff appendicovesicostomy is feasible and is associated with reasonable outcome with early recovery, resumption of normal activities and excellent cosmesis.
米氏原理最初被描述为一种为膀胱造口提供替代方法的技术。它创建了一条通向膀胱的通道，通过该通道，尿道敏感、缺失或受损的患者可以轻松地进行清洁间歇性导尿（CIC）。我们报告了我们在完全腹腔镜米氏阑尾膀胱造口术以促进可导尿腹部造口方面的经验。
采用四孔经腹途径进行完全腹腔镜米氏阑尾膀胱造口术。
6名平均年龄为12.8岁（9 - 16岁）的儿童接受了腹腔镜米氏阑尾膀胱造口术。平均手术时间为139.6分钟，平均估计失血量为46毫升。未发现尿漏病例。未发现造口狭窄或阑尾膀胱狭窄病例。
单纯腹腔镜米氏阑尾膀胱造口术是可行的，并且具有恢复早、可恢复正常活动和美观效果良好等合理的结果。
