Cutaneous ureterostomy using the transverse mesocolon

Cutaneous ureterostomy cannot be carried out by the retroperitoneal method in cases showing an insufficient length of the available ureter. We therefore proposed and carried out cutaneous ureterostomy transperitoneally on a ureter of minimum length using the transverse mesocolon. The right and left...

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Bibliographic Details
Published in:International journal of urology 2012-02, Vol.19 (2), p.174-176
Main Authors: Furubayashi, Nobuki, Nakamura, Motonobu, Hishikawa, Ken, Fukuda, Atushi, Matumoto, Takashi, Hasegawa, Yoshihiro
Format: Article
Language:English
Subjects:
Colon, Transverse - blood supply
Colon, Transverse - surgery
cutaneous ureterostomy
Humans
limited length of the ureter
Mesocolon - surgery
transperitoneally
transverse mesocolon
Ureteral Diseases - surgery
Ureterostomy - methods
urinary diversion
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Summary:Cutaneous ureterostomy cannot be carried out by the retroperitoneal method in cases showing an insufficient length of the available ureter. We therefore proposed and carried out cutaneous ureterostomy transperitoneally on a ureter of minimum length using the transverse mesocolon. The right and left ureters are drawn from the retroperitoneum into the peritoneal cavity in the renal hilus area. The right ureter is then led from the root of the transverse mesocolon to the area attached to the transverse colon under the subserous part of the transverse mesocolon, and penetrates the gastrocolic ligament. The left ureter is led to the area attached to the transverse mesocolon under the subserous part of the transverse mesocolon, and penetrates the transverse mesocolon, bursa omentalis and gastrocolic ligament. Next, both the right and left ureters are drawn up to the abdominal wall and a ureterstoma is constructed. The transverse mesocolon can be used as supporting tissue for the ureter. Furthermore, this also ensures blood flow in the ureter.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2011.02907.x