METHOD FOR DEVELOPING LARGE INTESTINAL URINARY RESERVOIR FOR TRASANAL REMOVAL OF URINE AFTER RADICAL CYSTECTOMY

摘要

FIELD: medicine, surgery, oncological urology. SUBSTANCE: cystectomy or cystprostatectomy should be carried out. Sigmoid flexure should be crossed at the distance of 30-40 cm against transitional peritoneal fold. Proximal end of sigmoid flexure should be sutured. Ureters are separated. One should apply uretrosigmoid anastomosis due to putting ureters into a two-row intestinal suture. Interintestinal anastomosis is performed by "the end-to-the end" type. Proximally against interintestinal anastomosis one should create an invaginate according to "the ink-pot" type in rectosigmoid department of sigmoid flexure. The method excludes infecting the upper urinary tract due to obtained impossibility of mixing feces and urinary, anti-reflux protection provided and creation of anastomosis. EFFECT: higher efficiency of operation. 2 dwg