Uretero-colic anastomosis by the 'cuff' or 'flap' procedure--Goodwin's modified technique: preliminary report

Goodwin's procedure of uretero-colic anastomosis under direct vision, performed completely extraperitoneally by the endo-intestinal route marks a considerable progress when compared with the different variations of Coffey's operation. This technique may safely be applied after palliative cystectomy for proliferating bladder cancer if the anastomosis is performed at some distance from the common site of pelvic recurrence, and is provided with a system against back flow. In this regard the 'cuff' process seems quite satisfactory.