Related Experiment Videos
The Le Bag orthotopic urinary diversion
P N Kolettis1, E A Klein, A C Novick
1Department of Urology, Cleveland Clinic Foundation, Ohio, USA.
The Journal of Urology
|September 1, 1996
Summary
The Le Bag technique offers a feasible orthotopic urinary diversion for bladder cancer patients, with functional outcomes comparable to other methods. Absorbable staples simplify construction without increasing complications, though metabolic acidosis may occur.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Radical cystectomy is a standard treatment for bladder cancer.
- Urinary diversion is necessary following cystectomy.
- Orthotopic urinary diversion aims to preserve quality of life.
Purpose of the Study:
- To evaluate the clinical experience with the Le Bag orthotopic urinary diversion.
- To assess the safety and efficacy of the Le Bag technique in bladder cancer patients.
Main Methods:
- Review of 38 patients undergoing radical cystectomy and Le Bag urinary diversion.
- Construction of the pouch using detubularized ileum and cecum.
- Comparison of hand-sewn versus stapled anastomosis and Bricker versus tunneled ureterointestinal anastomoses.
Main Results:
- No significant difference in major complications between hand-sewn and stapled groups.
- Continence rates: 91% daytime, 80% nighttime (dry or mild incontinence).
- Mild hyperchloremic metabolic acidosis observed, correlated with pouch length.
Conclusions:
- The Le Bag technique is a technically feasible orthotopic urinary diversion.
- Absorbable staples facilitate pouch construction without added complications.
- Hyperchloremic metabolic acidosis is a potential complication related to pouch length.