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Segmental ureteroileal conduit resection procedures. a. The ileal conduit (black arrow) and the affected ureter (white arrow) were exposed. b. The ureters and ileal conduit were segmentally removed. c. The transected ureter was reanastomosesed to the residual ileal conduit. d. Drainage catheters were placed in the lower abdomen and stoma
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Fig1
Surgeons would then have good access to the ileal conduit and ureter (Fig. 1a). For one patient with hydroureteronephrosis, distal upper urinary tract recurrence was suspected on both sides, and the contralateral ureter was also ligated (Fig. 1b). The ileal conduit was clipped with an intestinal clamp approximately 3-4 cm distal to the ureteroileal conduit anastomosis, and segmental resection of the compromised ureteroileal conduit was then performed (Fig. 1b). A single-J ureteral stent was placed before closing the anastomosis (Fig. 1c). Finally, drainage catheters were placed in the lower abdomen and stoma (Fig. 1d).
Schematic drawing of the segmental ureteroileal conduit resection technique. a and b, The tumor to be segmentally removed (indicates by the dashed line). c and d, Patients after segmental ureteroileal conduit resection operation
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Fig2
A schematic drawing of SUICR is shown in Fig. 2.
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