Yang Needle Tunneling Technique in Creating Antireflux and Continent Mechanisms

作者: Wen-Horng Yang

DOI: 10.1016/S0022-5347(17)35625-2

关键词: Mitrofanoff principleForcepsIleal wallUrinary diversionMedicineCystectomyUrinary systemUreterSurgeryUrinary bladderAnatomyUrology

摘要: AbstractA total of 7 patients underwent cystectomy due to bladder malignancy and the ileum was used for lower urinary tract reconstruction (5 substitutions, 1 an internal ileal reservoir conduit diversion). Antireflux mechanisms were created by submucosally tunneled ureters in case continent mechanism a tube. In all cases Yang needle used, which consists portion forceps portion. The selected position ureteral tube implantation is injected with normal saline form wheal. introduced submucosally, guided under wheal certain distance then directed through wall. Smooth dilation tunnel achieved dilated without laceration mucosa. removed. ureter or grasped brought th...

参考文章(5)
Eugene M. Bricker, Bladder substitution after pelvic evisceration. Surgical Clinics of North America. ,vol. 30, pp. 1511- 1521 ,(1950) , 10.1016/S0039-6109(16)33147-4
Anthony R. Stone, James P.A. MacDermott, The Split-Cuff Ureteral Nipple Reimplantation Technique: Reliable Reflux Prevention from Bowel Segments The Journal of Urology. ,vol. 142, pp. 707- 709 ,(1989) , 10.1016/S0022-5347(17)38860-2
W.H. Hirdes, I. Hoekstra, H.P. Vlietstra, Hammock anastomosis: a nonrefluxing ureteroileal anastomosis. The Journal of Urology. ,vol. 139, pp. 517- 518 ,(1988) , 10.1016/S0022-5347(17)42508-0
W.F. Leadbetter, B.G. Clarke, Five Years’ Experience with Uretero-Enterostomy by the ‘Combined’ Technique Journal of Urology. ,vol. 73, pp. 67- 82 ,(1955) , 10.1016/S0022-5347(17)67368-3