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新型腔内泌尿外科技术，用于在取出双J支架期间改善尿失禁性尿流改道（回肠导管）的导航。

Novel Endourological technique for a better navigation in incontinent urinary diversion (ileal conduit) during Double J stent removal.

作者信息

Miyaoka Ricardo, Azal Neto Wilmar, Pedro Renato Nardi

机构信息

Division of Urology, Faculty of Medical Sciences, State University of Campinas - UNICAMP, Cidade Universitária Zeferino Vaz, Rua Vital Brasil, 80, CEP 13083-888, Campinas, SP, Brazil.

Clínica Urologia Campinas, Av. Francisco Glicério, 2331, salas 63/64, edifício Glicerio Office, Vl. Itapura, CEP 13020-210, Campinas, SP, Brazil.

出版信息

Urol Case Rep. 2023 Aug 29;51:102549. doi: 10.1016/j.eucr.2023.102549. eCollection 2023 Nov.

DOI:10.1016/j.eucr.2023.102549
PMID:37692765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10483506/
Abstract

INTRODUCTION

Assessing ileal conduit for double J stents removal after radical cystectomy is not always a straightforward task as navigation inside the ileal loop can be challenging to manage due to the difficulty to maintain a waterfilled environment and its long and tortuous aspect.

METHODS

We present a novel technique using a flexible ureteroscope that aims to ease this common demand with simple and readily available tools.

RESULTS

This technique has been successfully utilized in 2 patients now. No complications were documented.

CONCLUSION

We propose a novel surgical technique to improve endoscopic navigation in incontinent ileal loop urinary diversion.

摘要

引言

在根治性膀胱切除术后评估回肠通道以取出双J支架并非总是一项简单的任务，因为由于难以维持充满水的环境以及回肠袢长且曲折的特点，在回肠袢内进行操作具有挑战性。

方法

我们提出一种使用软性输尿管镜的新技术，旨在用简单且容易获得的工具满足这一常见需求。

结果

该技术现已成功应用于2例患者。未记录到并发症。

结论

我们提出一种新的手术技术，以改善在尿失禁性回肠袢尿液改道中的内镜操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/9de285bf7aee/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/1e3246873f60/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/815f03a0b019/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/4417aee3dc44/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/a80fbec71216/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/9de285bf7aee/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/1e3246873f60/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/815f03a0b019/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/4417aee3dc44/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/a80fbec71216/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f29/10483506/9de285bf7aee/gr5.jpg

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本文引用的文献

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European Association of Urology Guidelines on Muscle-invasive and Metastatic Bladder Cancer: Summary of the 2020 Guidelines.欧洲泌尿外科学会肌层浸润性和转移性膀胱癌指南：2020 年指南摘要。
Eur Urol. 2021 Jan;79(1):82-104. doi: 10.1016/j.eururo.2020.03.055. Epub 2020 Apr 29.
2
Internal double-J stent was associated with a lower incidence of ureteroileal anastomosis stricture than external ureteral catheter for patients undergoing radical cystectomy and orthotopic neobladder: A systematic review and meta-analysis.对于接受根治性膀胱切除术和原位新膀胱术的患者，与外置输尿管导管相比，内置双 J 支架与输尿管-回肠吻合口狭窄的发生率较低：系统评价和荟萃分析。
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3
To stent or not to stent perioperatively the ureteroileal anastomosis of ileal orthotopic bladder substitutes and ileal conduits? Results of a prospective randomized trial.
对于回肠原位膀胱替代术和回肠导管的输尿管回肠吻合术，围手术期是否放置支架？一项前瞻性随机试验的结果。
J Urol. 2008 Feb;179(2):582-6. doi: 10.1016/j.juro.2007.09.066. Epub 2007 Dec 21.
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Urinary diversions after cystectomy: the association of clinical factors, complications and functional results of four different diversions.膀胱切除术后的尿流改道：四种不同尿流改道方式的临床因素、并发症及功能结果的关联
Eur Urol. 2008 Apr;53(4):834-42; discussion 842-4. doi: 10.1016/j.eururo.2007.09.008. Epub 2007 Sep 18.
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Bladder cancer: epidemiology, staging and grading, and diagnosis.膀胱癌：流行病学、分期与分级以及诊断
Urology. 2005 Dec;66(6 Suppl 1):4-34. doi: 10.1016/j.urology.2005.07.062.
6
[Complications of Bricker ileal conduit urinary diversion: analysis of a series of 246 patients].[回肠膀胱术尿流改道的并发症：246例患者的系列分析]
Prog Urol. 2005 Feb;15(1):23-9; discussion 29.
7
Ureteric catheterization via an ileal conduit: technique and retrieval of a JJ stent.经回肠膀胱通道进行输尿管插管：技术及取出双J支架
Clin Radiol. 2004 Nov;59(11):1041-3. doi: 10.1016/j.crad.2004.02.021.
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Ureteral stenting via an ileal conduit using a gastroscope.
J Urol. 2002 Jul;168(1):185.
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Use of a duodenoscope to manage complications at the ureteroileal anastomotic site after total urinary bladder resection and the Bricker procedure.在全膀胱切除及Bricker手术后，使用十二指肠镜处理输尿管回肠吻合口处的并发症。
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