%0 Journal Article
%T Cistectom赤a total laparosc車pica y neovejiga sigmoidea (Mainz Pouch II) totalmente intracorp車reo: Caso Cl赤nico Laparoscopic cystectomy and rectosigmoid pouch creation: Report of one case
%A OCTAVIO CASTILLO C
%A RAFAEL S芍NCHEZ-SALAS
%A IVAR VIDAL M
%A ALEJANDRO FONER車N V
%J Revista Chilena de Cirug赤a
%D 2008
%I Sociedad de Cirujanos de Chile
%X Se presenta el caso de una paciente joven con cuadro de cistitis intersticial condicionante de dolor p谷lvico cr車nico sin respuesta al tratamiento m谷dico, que requiri車 de cistectom赤a total laparosc車pica transperitoneal, as赤 como la creaci車n intracorp車rea de una derivaci車n urinaria rectosigmoidea. (Mainz Pouch II). Con una evoluci車n sin complicaciones, en el seguimiento tard赤o se reporta continencia total, mejor赤a de su calidad de vida y ausencia de infecciones urinarias o alteraciones metab車licas. La derivaci車n de Mainz II es una opci車n viable en pacientes seleccionados para la reconstrucci車n de la v赤a urinaria luego de cistectom赤a, siendo su realizaci車n factible por v赤a laparosc車pica. El control postoperatorio estricto es de vital importancia. We report a 31 years o赤d female with a previous history of chronic pelvic pain and interstitial cystitis. After years of lack of response to medical treatment, a simple total cystectomy and neobladder were proposed as therapeutic option. The patient accepted the procedure and a laparoscopic simple cystectomy with creation of a rectosigmoid pouch (Mainz II) was performed. The patient had an uneventful evolution. During long-term follow-up a total control of continence was achieved, improvement in quality of life verified, and no metabolic disorders or upper urinary tract infections were observed. Mainz II pouch is a viable option in selected patients as a urinary derivative procedure. Mainz II pouch creation can be done laparoscopically and a ci車se follow-up is mandatory.
%K Laparoscopia
%K cistectom赤a
%K derivaci車n urinaria rectosigmoidea
%K Laparoscopy
%K cystectomy
%K rectosigmoid pouch
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262008000600013