Bricker and Wallace remain the two most common surgical techniques of ureteroenteric anastomosis for
ileal conduit (31).
Modified S-pouch neobladder vs
ileal conduit and a matched control population: a quality-of-life survey.
From January 2011 to June 2016, a total of 45 patients with bladder cancer who underwent LRC with
ileal conduit at our department by one surgeon with high volume surgical experience in LRC were retrospectively analyzed in this study, of whom 20 patients underwent LRC with ECIC from January 2011 to January 2014 while 25 patients underwent LRC with ICIC from February 2014 to June 2016.
Neobladder functional data were not available for 17 patients at follow up for the following reasons: 5 died before the 3 month follow up, 7 patients had cancer progression and were followed by medical oncology where functional data was not captured, 4 patients were lost to follow-up, and 1 patient was converted to an
ileal conduit 4 weeks post-neobladder creation due to multiple medical conditions and complications, including wound and neobladder dehiscence.
Lowe, "Bleeding
ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization," Urology, vol.
Abdominal repair was chosen for 11 (55%) patients, vaginal repair for 5 (25%), laparoscopic repair for 2 (10%), and 2 patients underwent
ileal conduit urinary diversion (10%).
See Figure 1 for various locations for ostomies; Figure 2 for an example of an
ileal conduit. Ideally, an enterostomal therapy nurse (EOTN) or a wound, ostomy, and continence nurse (WOCN) should be consulted to perform preoperative evaluation, select the ostomy site, and provide in-depth patient education (Gonzalez, 2015; Stelton et al., 2015; Walker & Lachman, 2013).
The concordance rate for negative for malignancy was 73.9% (2108 of 2852), and concordance for recognizing
ileal conduit specimens was 55.8% (2950 of 5291).
The patient comorbidities, associated with the extent of the pelvic exenteration, make this procedure to be prone to more complications in patients on which a Bricker
ileal conduit and a stoma from fecal stream are obviously necessary.
The
ileal conduit has been considered the standard urinary diversion method after cystectomy.
Six weeks before admission, he underwent a robotic-assisted laparoscopic radical cystoprostatectomy with bilateral pelvic lymph node dissections and creation of an
ileal conduit urinary diversion.
His case study looked at a patient's journey pre- and post-cystectomy and the issues around managing an
ileal conduit.