URETEROAPENDICS-APENDICOVESICAL ANASTOMOSIS IN BILATERAL URETERAL NECROSIS AFTER W POCH RADICAL CYSTECTOMY AND LITERATURE REVIEW

Year 2021, Volume: 28 Issue: 2, 343 - 346, 15.06.2021

Tayfun Çifteci , Osman Ergün , Sefa Alperen Öztürk , Alim Koşar

https://doi.org/10.17343/sdutfd.778373

Abstract

Bladder cancer is the second most common cancer of
the urogenital system. At the time of diagnosis, 25%
of all bladder cancer has muscle invasion (MIBC).
Gold standard treatment in MIBC is radical cystectomy
and lymph node dissection. The type of urinary
diversion following radical cystectomy is decided by
evaluating the individual health status and bladder
cancer stage of the patients. In surgical anastomosis,
attention should be paid to ureters’ blood supplies and
ureteral necrosis should be avoided. In this case, after
radical cystectomy, the use of appendix due to ureter
necrosis in uretero-vesical anastomosis and literature
results were reviewed.

Keywords

Radical cystectomy, Radical cystectomy, appendix, ureter, urinary diversion

W POŞ SİSTEKTOMİ SONRASI GELİŞEN BİLATERAL ÜRETER NEKROZUNDA ÜRETEROAPENDIKS-APENDIKOVESICAL ANASTOMOZ VE LİTERATÜRÜN TARANMASI

Abstract

Mesane kanseri ürogenital sistemin en sık görülen
ikinci kanseridir. Tanı anında %25’ i kasa invaze
(KIMK) olan mesane kanserinde altın standart tedavi
radikal sistektomi ve lenf nodu diseksiyonudur. Radikal
sistektomi sonrası uygulanacak üriner diversiyon
tipine hastaların bireysel sağlık durumu ve mesane
kanseri evresi değerlendirilerek karar verilir. Üreter
anastomuzu esnasında beslenmesine dikkat edilmeli
ve üreter nekrozundan kaçınılmalıdır. Bu olguda radikal
sistektomi sonrası erken dönemde gelişen üreter
nekrozunda üreterovezikal anastomozda apendiks
kullanımı ve literatür sonuçları taranmıştır.

Keywords

radikal sistektomi, apendiks, üreter, üriner diversiyon

References

• 1- Altuğ Tuncel, Mesane kanseri güncellemeleri, Türk Üroloji Akademisi yayın no:3, 2015
• 2- Önder Yaman, Ateş Kadıoğlu, Ali İhsan Taşçı, güncel üroloji 2. baskı, Türk Üroloji Akademisi yayın no:18, 2018
• 3- 2016 EAU klavuzu, https://uroweb.org/guideline/bladder-cancer-muscle-invasive-and-metastatic
• 4- Edge SB, Byrd DR, Compton CC, et al. In: Edge SB, editor. AJCC cancer staging manual. 7th ed. New York: Springer; 2010. pp. 253–266.
• 5- Abol-Enein H, Ghoneim MA. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: Experience with 450 patients. J Urol. 2001;165:1427–32.
• 6- Sakıp Erturhan, Yiğit Akın, Üroonkoloji el kitabı, Türk Üroloji Akademisi yayın no:17, 2018
• 7- Camey M: Remplacement de l’uretère moyen droit par l’appendice; in Congrès AFU Paris. Masson, 1968, vol 62, pp 149-154.
• 8- Parveen Kumar, Yogesh Kumar Sarin, Use of Appendix as Neoureter- A Ray of Hope, Journal of Neonatal Surgery 2017; 6:64
• 9- Corbetta JP, Weller S, Bortagaray JI, et al. Ureteral replacementwith appendix in pediatric renal transplantation. Pediatr Transpl. 2012;16: 235-238.
• 10- Blaszak RT, Dunn JF, Finck CM. Use of appendix for complete transplant ureteral necrosis. Pediatr Transpl. 2003;7: 243-246.
• 11- Mitrofanoff, P. Cystostomie continente trans-appendiculaire dans le traitement des vessies neurologiques. Chir Pediatr, 21: 297, 1980
• 12- Jang TL, Matschke HM, Rubenstein JN, Gonzalez CM. Pyeloureterostomy with interposition of the appendix. J Urol. 2002;168: 2106-2107.
• 13- Thomas A, Eng MM, Hagan C, et al. Appendiceal substitution ofthe ureter in retroperitoneal fibrosis. J Urol. 2004;171:2378-2379.