Clara Dujardin , Fabrice Narducci , Delphine Hudry , Arnaud Villers , Gautier Marcq , Carlos Martinez Gomez
{"title":"采用ICG技术进行砌砖回肠导管分流10步","authors":"Clara Dujardin , Fabrice Narducci , Delphine Hudry , Arnaud Villers , Gautier Marcq , Carlos Martinez Gomez","doi":"10.1016/j.gore.2025.101753","DOIUrl":null,"url":null,"abstract":"<div><div>The Bricker ileal conduit is a widely used incontinent urinary diversion, commonly performed after pelvic exenteration. Described by Bricker in 1950 (<span><span>Bricker, 1950</span></span>), it remains popular due to low complication rates and surgical simplicity (<span><span>Martínez-Gómez et al., 2021</span></span>). Early postoperative complications include intestinal or urinary fistulas, while late ones involve ureteral stenosis (<span><span>Hétet et al., 2005</span></span>).</div><div>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.</div><div>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.</div><div>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.</div></div>","PeriodicalId":12873,"journal":{"name":"Gynecologic Oncology Reports","volume":"59 ","pages":"Article 101753"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bricker ileal conduit diversion with ICG technique in 10 steps\",\"authors\":\"Clara Dujardin , Fabrice Narducci , Delphine Hudry , Arnaud Villers , Gautier Marcq , Carlos Martinez Gomez\",\"doi\":\"10.1016/j.gore.2025.101753\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The Bricker ileal conduit is a widely used incontinent urinary diversion, commonly performed after pelvic exenteration. Described by Bricker in 1950 (<span><span>Bricker, 1950</span></span>), it remains popular due to low complication rates and surgical simplicity (<span><span>Martínez-Gómez et al., 2021</span></span>). Early postoperative complications include intestinal or urinary fistulas, while late ones involve ureteral stenosis (<span><span>Hétet et al., 2005</span></span>).</div><div>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.</div><div>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.</div><div>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.</div></div>\",\"PeriodicalId\":12873,\"journal\":{\"name\":\"Gynecologic Oncology Reports\",\"volume\":\"59 \",\"pages\":\"Article 101753\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-04-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gynecologic Oncology Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352578925000785\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gynecologic Oncology Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352578925000785","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Bricker ileal conduit diversion with ICG technique in 10 steps
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.
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.