Modification of procedure of total extraperitoneal ileal conduit
WANG Xiaojun1, LI Xin1, LI Jin2, CUI Peng1, ZHAO Xingxing1, HU Qi1, WANG Jiaqi3, and LI Haixia1
1.Department of Urology, Tumor Hospital of BaoTou city, Baotou 014030,China, 2. Department of Breast Surgery, Tumor Hospital of BaoTou city, Baotou 014030,China, 3.Department of Radiology, Tumor Hospital of BaoTou city, Baotou 014030,China
Abstract：Objective To study the application of pulling out ileum from small lateral peritoneum incision in total extraperitoneal ileal conduit.Methods 57 bladder cancer patients admitted from January 2011 to December 2014 in this department were recruited. The inclusion criteria included pathologically confirmed urothelial carcinoma, clinical stage T2b-T4a, and expected survival >1 year. 27 patients received conventional procedure, with traditional large incision applied during lateral peritoneum incision; 30 patients received modified procedure, with ileum dragging out through small lateral peritoneum incision. The differences between the two groups regarding numbers of stitches during lateral peritoneum incision suture, time consumed for the surgery, intraoperative blood loss, area of peritoneum isolated, lateral peritoneum incision length, the time to first post-operative anal exhaust, the reasons for post-operative internal hernia and early intestinal obstruction, as well as post-operative blood supply for ileal conduit and whether necrosis showed up.Results The time to first post-operative anal exhaustion for the two group were (72±6) h and (72±10) h, respectively, and the difference was not statistically significant. For modified group and conventional group, the numbers of stitches applied during lateral peritoneum incision suture were (5±2) and (12±2), time consumed were (15±5) min and (25±5) min, blood loss were (10±5) ml and (30±8) ml, the area of peritoneum isolated were (20±5) cm2, and (45±5) cm2, and lateral peritoneum incision length were (3±1) cm and (12±2) cm, respectively. The differences between the two groups were statistically significant (P<0.05).Conclusions Modified procedure can shorten the time consumed during procedure, reduce peritoneum loss and blood loss, as well as simplify procedure without more procedure-induced complications.
汪小军, 李鑫, 李瑾, 崔鹏, 赵星星, 胡琦, 王佳琦, 李海霞. 膀胱癌全腹膜外回肠膀胱术术式改良探讨[J]. 武警医学, 2016, 27(4): 334-335.
WANG Xiaojun, LI Xin, LI Jin, CUI Peng, ZHAO Xingxing, HU Qi, WANG Jiaqi, and LI Haixia. Modification of procedure of total extraperitoneal ileal conduit. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(4): 334-335.
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2016, Vol. 27 
