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Related Experiment Videos

Laparoscopic enterocystoplasty.

I S Gill1, R R Rackley, A M Meraney

  • 1Department of Urology, and Minimally Invasive Surgery Center, Cleveland Clinic Foundation, Ohio 44195, USA.

Urology
|February 25, 2000
PubMed
Summary
This summary is machine-generated.

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This study shows laparoscopic augmentation enterocystoplasty using various bowel segments is a safe and effective minimally invasive surgical option for neurogenic bladder. It offers a viable alternative to open procedures.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Neurogenic bladder can lead to functionally reduced bladder capacity.
  • Augmentation enterocystoplasty is a surgical option to increase bladder capacity.
  • Open enterocystoplasty has been the traditional approach.

Purpose of the Study:

  • To evaluate the initial clinical experience of laparoscopic augmentation enterocystoplasty.
  • To assess the feasibility, safety, and efficacy of this minimally invasive technique.

Main Methods:

  • Laparoscopic augmentation enterocystoplasty was performed on three patients with neurogenic bladder.
  • Techniques included ileocystoplasty, sigmoidocystoplasty, and cystoplasty using the cecum and colon.
  • A continent catheterizable ileal conduit with an umbilical stoma was created in one patient.

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Main Results:

  • Operative times ranged from 5.3 to 8 hours.
  • All laparoscopic enterovesical anastomoses were watertight, with no postoperative urinary extravasation.
  • Hospital stays were between 4 and 7 days.

Conclusions:

  • Laparoscopic augmentation enterocystoplasty is feasible, safe, and effective.
  • It serves as an attractive alternative to open enterocystoplasty.
  • Various bowel segments can be utilized, similar to open surgery.