Novosti
Khirurgii

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Year 2018 Vol. 26 No 6

REVIEWS

S.V. SHKODKIN 1, 2, Y.B. IDASHKIN 1, K.A. BOCHAROVA 2, V.N. DMITRIEV 2, A.V. LYUBUSHKIN 2, A.A. NEVSKY 2

TRANSURETERO URETEROSTOMY: CURRENT STATE OF THE PROBLEM AND ITS PLACE IN ONCOLOGICAL UROLOGY

Belgorod Regional Clinical Hospital of Saint Joasaph 1,
Belgorod National Research University 2,
The Russian Federation

Objective. To estimate the possibilities of transureteroureterostomy in the surgical treatment of the invasive bladder cancer.
The article analyzes the publications dealing with transureteroureterostomy in various pathologies. Positive results of using this approach in pediatric urology are shown. 94 observations of augmentation plasty of the bladder in children with unilateral ureterohydronephrosis and subsequent transureteroureterostomy were analyzed. Long-term effectiveness (for terms from 6 to 13 years) on 134 repeated plastics of the extended strictures of the ureter was proved. The incidence of anastomotic failure was 9.5%, and relapse of obstruction developed in 10% of patients. The elimination of the need for the intestinal reconstruction after radical cystectomy reduces the number of perioperative complications. It is shown that transureteroureterostomy does not have high morbidity and does not increase the number of urobiobstructive complications in comparison with Bricker ileal conduit. The authors highlight the most important technical aspects of performing this type of urine derivation after cystectomy for the muscular-invasive bladder cancer.
Conclusions. Carrying out transureteroureterostomy and the formation of cutaneous ureterostomy after radical cystectomy does not increase the frequency of early postoperative complications and saves patients from bilateral urostomy.

Keywords: transureteroureterostomy, radical cystectomy, urine diversion, bladder cancer, ureterocutaneosostomy
p. 726-734 of the original issue
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Address for correspondence:
308007, The Russian Federation,
Belgorod, Nekrasov Str., 8/9, b. 8,
Belgorod Regional Clinical Hospital
Of Saint Joasaph,
Urology Unit,
Tel.: +79103207071,
e-mail: shkodkin-s@mail.ru,
Sergey V. Shkodkin
Information about the authors:
Shkodkin Sergey V., MD, Associate Professor, Urologist of the Urology Unit, Belgorod Regional Clinical Hospital of Saint Joasaph, Professor of the Hospital Surgery Department, Belgorod National Research University, Belgorod, Russian Federation.
https://orcid.org/0000-0003-2495-5760
Idashkin Yury B., Urologist of the Out-Patient Department, Belgorod Regional Clinical Hospital of Saint Joasaph, Belgorod, Russian Federation.
https://orcid.org/0000-0003-2318-9494
Bocharova Ksenia A., PhD, Associate Professor of the Department of Faculty Therapy, Belgorod National Research University, Belgorod, Russian Federation.
https://orcid.org/0000-0001-5540-924X
Dmitriev Vadim N., PhD, Associate Professor of the Department of Faculty Surgery, Belgorod National Research University, Belgorod, Russian Federation.
https://orcid.org/0000-0002-5523-5718
Lyubushkin Aleksey V., PhD, Clinical Intern of the Department of Faculty Surgery, Belgorod National Research University, Belgorod, Russian Federation.
https://orcid.org/0000-0002-3031-8947
Nevskyi Aleksandr A., Clinical Intern of the Department of Faculty Surgery, Belgorod National Research University, Belgorod, Russian Federation.
https://orcid.org/0000-0001-9560-8673
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