Japan Digestive Disease Week 2021
International Poster Session 6 (JDDW)
November 5, 14:48–15:36, Room 16 (Kobe International Exhibition Hall No.3 Building Digital Poster Venue)
IP-32_S
Reconstruction of ileal conduit due to ureteroileal anastomotic benign stricture of after total pelvic exenteration
- 1
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
Background: Previously, we published “Ileal conduit necrosis after total pelvic exenteration for recurrence of gastrointestinal stromal tumor: Case Report and Literature.” (Nagoya J. Med. Sci. 81. 529–534, 2019)
Aim: We aimed to reconstruct ileal conduits due to ureteroileal anastomotic benign strictures after total pelvic exenteration.
Subject: Three cases that presented between January 2019 and December 2020.
Methods:
(1) The hydronephrosis occurred at the side of ureteroileal anastomosis; thus, a percutaneous nephrostomy tube was placed before surgery.
(2) The manipulation of the nephrostomy tube aided in recognizing the ureteroileal anastomotic site in the severe adhesion.
(3) Partial resection of the ileal conduit, including the ureteroileal anastomotic site, was performed.
(4) The new anastomosis of the ureter and ileal conduit was done. However, if the new anastomosis cannot be done because the ureter is short, the additional ileum was anastomosed on the ileal conduit, and the ureter was anastomosed on the additional ileum. The ureteral stent was reinserted into the ureter and ileum.
Result: Re-anastomotic benign stricture was not recognized in all the cases.
Conclusion: The surgical reconstruction of the ileal conduit is useful and should be learned.
Aim: We aimed to reconstruct ileal conduits due to ureteroileal anastomotic benign strictures after total pelvic exenteration.
Subject: Three cases that presented between January 2019 and December 2020.
Methods:
(1) The hydronephrosis occurred at the side of ureteroileal anastomosis; thus, a percutaneous nephrostomy tube was placed before surgery.
(2) The manipulation of the nephrostomy tube aided in recognizing the ureteroileal anastomotic site in the severe adhesion.
(3) Partial resection of the ileal conduit, including the ureteroileal anastomotic site, was performed.
(4) The new anastomosis of the ureter and ileal conduit was done. However, if the new anastomosis cannot be done because the ureter is short, the additional ileum was anastomosed on the ileal conduit, and the ureter was anastomosed on the additional ileum. The ureteral stent was reinserted into the ureter and ileum.
Result: Re-anastomotic benign stricture was not recognized in all the cases.
Conclusion: The surgical reconstruction of the ileal conduit is useful and should be learned.
- Index Term 1: total pelvic exenteration
- Index Term 2: ileal conduit