| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000296976 |
| ISSN: | 1677-5538 |
| Authors: | Romero, Frederico R1 Trapp, Claudemir Muntener, Michael Brito, Fabio A Kavoussi, Louis R2 Jarrett, Thomas W3 |
| Institutions: | 1Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland. Estados Unidos de América 2North Shore-LIJ Health System Department of Urology, Long Island, Nueva York. Estados Unidos de América 3The George Washington University, Department of Urology, Washington, Distrito de Columbia. Estados Unidos de América |
| Year: | 2007 |
| Season: | Ene-Feb |
| Volumen: | 33 |
| Number: | 1 |
| Pages: | 94-99 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Experimental, analítico |
| English abstract | OBJECTIVE: Describe a unique simplified experimental technique for total laparoscopic gastrocystoplasty in a porcine model. MATERIAL AND METHODS: We performed laparoscopic gastrocystoplasty on 10 animals. The gastroepiploic arch was identified and carefully mobilized from its origin at the pylorus to the beginning of the previously demarcated gastric wedge. The gastric segment was resected with sharp dissection. Both gastric suturing and gastrovesical anastomosis were performed with absorbable running sutures. The complete procedure and stages of gastric dissection, gastric closure, and gastrovesical anastomosis were separately timed for each laparoscopic gastrocystoplasty. The end-result of the gastric suturing and the bladder augmentation were evaluated by fluoroscopy or endoscopy. RESULTS: Mean total operative time was 5.2 (range 3.5 - 8) hours: 84.5 (range 62 - 110) minutes for the gastric dissection, 56 (range 28 - 80) minutes for the gastric suturing, and 170.6 (range 70 to 200) minutes for the gastrovesical anastomosis. A cystogram showed a small leakage from the vesical anastomosis in the first two cases. No extravasation from gastric closure was observed in the postoperative gastrogram. CONCLUSIONS: Total laparoscopic gastrocystoplasty is a feasible but complex procedure that currently has limited clinical application. With the increasing use of laparoscopy in reconstructive surgery of the lower urinary tract, gastrocystoplasty may become an attractive option because of its potential advantages over techniques using small |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Medicina experimental, Laparoscopia, Vejiga, Gastroplastia, Cerdos |
| Keyword: | Medicine, Experimental medicine, Surgery, Laparoscopy, Bladder, Gastroplasty, Pigs |
| Full text: | Texto completo (Ver HTML) |
