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Advantages of the ileal over the ileocecal orthotopic neobladder in patients with invasive bladder cancer
العناوين الأخرى
فوائد تصنيع المثانة باستخدام قطعة دقاقية مع قطعة دقاقية-أعورية لدى المرضى المصابين بسرطانة مرتشحة في المثانة
المصدر
Journal of the Arab Board of Health Specializations
العدد
المجلد 1، العدد 3 (31 يوليو/تموز 1999)، ص ص. 96-99، 4ص.
الناشر
المجلس العربي للاختصاصات الصحية
تاريخ النشر
1999-07-31
دولة النشر
سوريا
عدد الصفحات
4
التخصصات الرئيسية
الملخص AR
Introduction and Objectives: Different segments of small and large bowel have been used in the construction of the orthotopic neobladder in patients undergoing cystectomy for invasive bladder cancer.
Ileocecal and ileal neobladders performed in a single institution are compared.
Materials and Methods: In 29 patients, ileocecal neobladder was constructed while 23 patients had ileal neobladder.
In the ileocecal group, the cecum and the ascending colon are mobilized, appendectomy is performed, the ileocecal valve is opened, the ureters are implanted in the taenia, and a cecostomy tube is placed.
In the ileal group, the ureters are subserosally implanted and no suprapubic tube is exteriorized.
Results: There was no operative mortality in either group.
Three patients needed intermittent catheterization.
Both groups tolerated adjuvant chemotherapy and radiation therapy.
Three patients from the ileocecal group devel¬oped uretero-intestinal strictures versus one from the ileal group.
Mucus production was significantly higher in the ileocecal group.
Operating time was longer for the ileocecal group.
Conclusions: Both ileal and ileocecal neobladder are excellent urinary substitutes, and they are functionally comparable.
The ileal neobladder offers the following advantages: (1) Mobilization of the cecum and ascending colon and appendectomy are not required which leads to a shorter operating time.
(2) Intact ileocecal valve.
(3) Fewer uretero-intestinal strictures.
(4) Less mucus production meaning that there is no need for a suprapubic tube.
الملخص EN
Introduction and Objectives: Different segments of small and large bowel have been used in the construction of the orthotopic neobladder in patients undergoing cystectomy for invasive bladder cancer.
Ileocecal and ileal neobladders performed in a single institution are compared.
Materials and Methods: In 29 patients, ileocecal neobladder was constructed while 23 patients had ileal neobladder.
In the ileocecal group, the cecum and the ascending colon are mobilized, appendectomy is performed, the ileocecal valve is opened, the ureters are implanted in the taenia, and a cecostomy tube is placed.
In the ileal group, the ureters are subserosally implanted and no suprapubic tube is exteriorized.
Results: There was no operative mortality in either group.
Three patients needed intermittent catheterization.
Both groups tolerated adjuvant chemotherapy and radiation therapy.
Three patients from the ileocecal group devel¬oped uretero-intestinal strictures versus one from the ileal group.
Mucus production was significantly higher in the ileocecal group.
Operating time was longer for the ileocecal group.
Conclusions: Both ileal and ileocecal neobladder are excellent urinary substitutes, and they are functionally comparable.
The ileal neobladder offers the following advantages: (1) Mobilization of the cecum and ascending colon and appendectomy are not required which leads to a shorter operating time.
(2) Intact ileocecal valve.
(3) Fewer uretero-intestinal strictures.
(4) Less mucus production meaning that there is no need for a suprapubic tube.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bulbul, Muhammad A.& Wazzan, Wasim& Hammadi, Kamal& Farahat, Walid& Kaouk, Jihad. 1999. Advantages of the ileal over the ileocecal orthotopic neobladder in patients with invasive bladder cancer. Journal of the Arab Board of Health Specializations،Vol. 1, no. 3, pp.96-99.
https://search.emarefa.net/detail/BIM-158040
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bulbul, Muhammad A.…[et al.]. Advantages of the ileal over the ileocecal orthotopic neobladder in patients with invasive bladder cancer. Journal of the Arab Board of Health Specializations Vol. 1, no. 3(July 1999), pp.96-99.
https://search.emarefa.net/detail/BIM-158040
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bulbul, Muhammad A.& Wazzan, Wasim& Hammadi, Kamal& Farahat, Walid& Kaouk, Jihad. Advantages of the ileal over the ileocecal orthotopic neobladder in patients with invasive bladder cancer. Journal of the Arab Board of Health Specializations. 1999. Vol. 1, no. 3, pp.96-99.
https://search.emarefa.net/detail/BIM-158040
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 99
رقم السجل
BIM-158040
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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