Bricker ileal conduit diversion with ICG technique in 10 steps

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY

Gynecologic Oncology Reports Pub Date : 2025-04-26 DOI:10.1016/j.gore.2025.101753

Clara Dujardin , Fabrice Narducci , Delphine Hudry , Arnaud Villers , Gautier Marcq , Carlos Martinez Gomez

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Abstract

The Bricker ileal conduit is a widely used incontinent urinary diversion, commonly performed after pelvic exenteration. Described by Bricker in 1950 (Bricker, 1950), it remains popular due to low complication rates and surgical simplicity (Martínez-Gómez et al., 2021). Early postoperative complications include intestinal or urinary fistulas, while late ones involve ureteral stenosis (Hétet et al., 2005).

In women’s cancers, pelvic exenteration often follows radiotherapy or retroperitoneal dissection during aortic lymphadenectomy, involving extensive left-sided ureteral dissection, which complicates ureteral vascularization.

ICG (indocyanine green) is a safe, widely used technique in oncologic surgery to assess tissue vascularization, reducing fistula and stenosis risks in ileoureteral and ileoileal anastomoses.

The urinary conduit is made from a 20 cm ileal segment, with ureters anastomosed separately to the proximal end. ICG is injected intravenously to assess ureteral and anastomotic vascularization. The distal end forms a cutaneous stoma.

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采用ICG技术进行砌砖回肠导管分流10步

布里克回肠导管是一种广泛使用的尿失禁导尿管，通常在盆腔切除后进行。由Bricker于1950年描述（Bricker, 1950），由于并发症发生率低和手术简单，它仍然很受欢迎（Martínez-Gómez等人，2021）。术后早期并发症包括肠瘘或尿瘘，晚期并发症包括输尿管狭窄（hsamet al., 2005）。在女性癌症患者中，在主动脉淋巴结切除术中，盆腔切除常伴随放疗或腹膜后清扫，包括广泛的左侧输尿管清扫，使输尿管血管化复杂化。ICG（吲哚菁绿）是一种安全、广泛应用于肿瘤外科的技术，用于评估组织血管化，减少回肠和回肠吻合口的瘘和狭窄风险。尿管由20厘米的回肠段组成，输尿管分别与近端吻合。静脉注射ICG以评估输尿管和吻合口血管的形成。远端形成皮肤造口。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecologic Oncology Reports OBSTETRICS & GYNECOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

183

审稿时长

41 days

期刊介绍： Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.