Abstract
BackgroundThis study aimed to introduce a novel method for ureteroileal anastomosis, explore its clinical effectiveness, observe the incidence of postoperative anastomotic stricture, and compare the postoperative complications with those of other types of ureteroileal anastomosis reported in the literature.MethodsBoth ureters were first anastomosed at their distal ends and then inserted into the proximal end of the ileal loop. A postoperative follow-up analysis was performed to evaluate major complication indicators, including anastomotic stricture, anastomotic leak, and hydroureteronephrosis.ResultsWe successfully performed ureteral distal ends anastomosis combined with end-to-end insertion into the ileum for 143 patients. The mean postoperative follow-up lasted 37 months (range: 10–68 months). There was no occurrence of an anastomotic leak. The incidence of anastomotic stricture combined with hydronephrosis, ileal conduit stones, urinary tract infection, and renal dysfunction were 2.1%, 0.7%, 2.1%, and 4.2%, respectively.ConclusionUreteral distal ends combined and inserted into the ileum were simple to perform and helped achieve precise anastomosis with fewer postoperative complications.
Highlights
This study aimed to introduce a novel method for ureteroileal anastomosis, explore its clinical effectiveness, observe the incidence of postoperative anastomotic stricture, and compare the postoperative complications with those of other types of ureteroileal anastomosis reported in the literature
Ureteroileal anastomosis is a crucial procedure in ileal conduit and a key factor affecting the quality of life and prognosis after surgery
Radical cystectomy combined with urinary diversion is the primary surgical method for treating muscle-invasive bladder tumors, among which urinary diversion has a decisive impact on the quality of life of patients after surgery
Summary
This study aimed to introduce a novel method for ureteroileal anastomosis, explore its clinical effectiveness, observe the incidence of postoperative anastomotic stricture, and compare the postoperative complications with those of other types of ureteroileal anastomosis reported in the literature. Some patients may experience different postoperative complications, including urinary tract obstruction, urinary leakage, symptomatic infection, which are most likely related to ureteroileal anastomosis instead of cystectomy [2, 3]. There have been many methods regarding ureteroileal anastomosis in ileal conduit, including anti-refluxing or refluxing anastomosis as well as anastomotic type selection [4]. This article presented the clinical experience and efficacy of applying this technique to ileal conduit reconstruction and provided a literature review on ureteroileal anastomosis techniques and their complications
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