Efficacy of modified laparoscopic repair of ileal-neobladder fistula
10.3969/j.issn.1009-8291.2025.09.011
- VernacularTitle:腹腔镜下改良回肠-新膀胱瘘修补术的疗效分析
- Author:
Yidong HOU
1
;
Liang ZHAO
1
;
Jinyou WANG
1
;
Jie MIN
1
;
Yi WANG
1
;
Tao ZHANG
1
;
Dexin YU
1
Author Information
1. 安徽医科大学第二附属医院泌尿外科,安徽 合肥 230601
- Publication Type:Journal Article
- Keywords:
bladder cancer;
orthotopic neobladder;
ileal-neobladder fistula;
radical cystectomy
- From:
Journal of Modern Urology
2025;30(9):788-791
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and technical advantages of modified laparoscopic ileal-neobladder fistula repair.Methods A retrospective analysis was conducted on the clinical data of 4 patients who underwent radical cystectomy+orthotopic neobladder surgery and subsequently developed ileal-neobladder fistula and received modified repair surgery in our hospital during Jan.2019 and Dec.2023.Under laparoscopy,the ileum at both ends of the fistula was transected,and an end-to-end ileal anastomosis bypass was established.Results All 4 patients successfully completed the operation.Their age was 66,50,76 and 59 years,respectively.Ileal-neoblbladder fistula occurred 4,1,2 and 16 months after radical resection.The operation time was 129,98,105 and 90 minutes.The intraoperative blood loss was 50,60,70 and 50 mL.The postoperative exhaust time was 3,4,3 and 5 days.The postoperative hospital stay was 8,7,7 and 9 days,and the postoperative drainage tube indwelling time was 5,4,5 and 7 days.No obvious complications occurred after operation.During follow-up of 1 to 6 years,none recurrence or long-term stenosis of the intestinal anastomosis occurred.The symptoms of urinary tract infection improved significantly,and the bladder function remained stable.Conclusion The modified laparoscopic repair of ileal-neobladder fistula achieves minimally invasive repair by avoiding extensive adhesion separation.It has the advantages of safe operation,rapid recovery,and few complications,and is a safe option for the treatment of ileal-neobladder fistula.
