Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press5210.17650/1726-9776-2010-6-2-37-44DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. URINARY BLADDER CANCERДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ МОЧЕПОЛОВОЙ СИСТЕМЫ. Рак мочевого пузыряINVERTING ORTHOTOPIC ILEOCYSTOPLASTY FOR SHORT MESENTERYИНВЕРТИРУЮЩАЯ ОРТОТОПИЧЕСКАЯ ИЛЕОЦИСТОПЛАСТИКА ПРИ КОРОТКОЙ БРЫЖЕЙКЕ ПОДВЗДОШНОЙ КИШКИPerepechayV. A.ПерепечайВ. А.
Russian Federation
perepechay_va@mail.ruSouthern District Medical Center, Federal Biomedical Agency of Russia, Rostov-on-DonФГУ Южный окружной медицинский центр ФМБА России, Ростов-на-Дону300620106237442507201425072014https://oncourology.abvpress.ru/oncur/article/view/52

During orthotopic ileocystoplasty, the short mesentery causes an increase in the risk of incompetence of anastomosis of the reservoir with the urethra. Inverting orthotopic ileocystoplasty ensures a free reservoir pull-through into the small pelvis and eliminates tissue tension in the anastomosis. The proposed procedure differs from the Studer operation in that the reservoir is sutured lengthwise, after which it is inverted between the mesenteric leaves. The posterior reservoir wall is anteverted and freely brought out into the small pelvis. This reduces the distance to the urethral stump by 3-4 cm. This procedure was used in 19 patients to be operated on. There were no cases of reservoir or reservoir-urethral anastomotic incompetence. The mean neocystic capacity was 110, 350, and 490 ml 0, 3, and 12 months, respectively, after urethral catheter removal. The maximum reservoir pressure does not exceed 40 (mean 30) cm H2O. Daytime urinary retention was 94.7%; nocturnal urinary retention during forced nocturnal miction was 79%. The obtained functional results compare well with those achieved during the similar procedures.

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