Application of syringe needle guided transabdominal double-J tube placement in total laparoscopic ileal neobladder surgery
10.3969/j.issn.1009-8291.2023.06.008
- VernacularTitle:注射器针头引导下经腹壁双J管置入在完全腹腔镜下回肠新膀胱术中的应用
- Author:
Liang XI
1
;
Shunhui YUAN
1
;
Hairong WEI
1
;
Binyang TANG
1
;
Zuoqi HAO
1
Author Information
1. Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China
- Publication Type:Journal Article
- Keywords:
syringe needle;
laparoscopy;
ileal neobladder;
double-J tube;
bladder cancer;
urinary flow reconstruction
- From:
Journal of Modern Urology
2023;28(6):497-499
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the application of 1.2 mm×35 mm thin walled, long oblique angle syringe needle guided double-J tube insertion through abdominal wall in total laparoscopic ileal neobladder surgery. 【Methods】 Clinical data of 5 patients undergoing total laparoscopic ileal neobladder surgery in our hospital during Dec.2020 and Jan.2022 were retrospectively analyzed. Under laparoscopy and direct vision, 3 cm above pubic symphysis was taken as the puncture point, and an syringe needle was inserted to establish a channel. After that, a double-J tube was inserted under the guidance of the guide wire through the needle. 【Results】 The double-J tube was successfully implanted in all 5 patients. The time needed was 2-4 min, with an average of 3 min. 【Conclusion】 Under the guidance of a 1.2 mm×35 mm syringe needle, the placement of a double-J tube through the abdominal wall in total laparoscopic ileal neobladder surgery is safe, effective, simple and accurate. It can not only preserve the original operation channel without destroying the pneumoperitoneum, but also shorten the operation time. It is a new auxiliary means in total laparoscopic ileal neobladder surgery.
