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 ORIGINAL ARTICLE
Year : 2013  |  Volume : 9  |  Issue : 1  |  Page : 3-6

Long-term experience on laparoscopic incontinent urinary diversion unrelated to cystectomy in radiated or recurrent pelvic malignancies


Department of Urology, Faculdade de Medicina do ABC (ABC Medical School), Av. Principe de Gales, 821 Santo Andre Sao Paulo CEP, Brazil

Correspondence Address:
Felipe Brandao Correa de Araujo
Rua Machado Bittencourt, 379/44 Vila Clementina CEP, Sao Paulo
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.107121

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Background: There are few reports describing series of cases about development on laparoscopic urinary diversions no related to cystectomy. The aim of this paper is to show the experience of our reference institutions for treatment of pelvic malignancies when laparoscopic techniques were applied to perform only urinary diversion without cystectomy or pelvic exenteration. Materials and Methods: We included retrospectively 12 cases of cutaneous ureterostomy and 21 cases with a reservoir (16 ileal conduits, 2 colonic conduits and 3 wet colostomies) treated in our institute from 2004 to 2010. It was evaluated operative time, blood loss, intraoperative complications, conversion rate, length of large incision, post operative complications, analgesic consumption, time to food intake, hospital stay, time to recovery to normal activities. Mean time to follow-up was 3(2-7) years. Results: All procedures were completed without conversions. In the cutaneous ureterostomy group the mean surgical time.






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