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Laparoscopic Cystoprostatectomy With Intracorporeally Constructed Ileal Conduit
2201
VIDEO REVIEWS
cystocele and placement of a pubovaginal sling via a transvaginal approach. As of May 2000, 50 patients had undergone the operation with a maximum followup of 6 months. No patients had permanent urinary retention and 72% were completely dry. The authors conclude that transvaginal placement of cadaveric fascia for concomitant sling and cystocele repair provides material of excellent strength for the repair without relying on the inherently weak tissues of the patient with pelvic prolapse. The video is well done technically, and provides an excellent method for the interested urologist to understand better the surgical procedure. Philip M. Hanno, M.D.
URETEROSCOPY/LAPAROSCOPY/BLADDER RECONSTRUCTION Laparoscopic Enterocystoplasty: The Clinical Technique A. MERANEY, R. RACKLEY, P. MARCELLO, A. SENAGORE
AND
I. GILL, Cleveland, Ohio, 9 minutes, 2000
The authors describe the technique of laparoscopic enterocystoplasty in 3 patients requiring bladder augmentation. All patients had functionally reduced bladder capacities secondary to neurogenic causes. Ileocystoplasty was performed in 1 patient, sigmoidocystoplasty in 1 and cecocolocystoplasty with a continent, catheterizable ileal conduit with an umbilical stoma in 1. Four ports were used, and the selected bowel was mobilized laparoscopically, exteriorized through a small umbilical incision and refashioned. The bladder was mobilized laparoscopically, cystostomy was created and anastomosis of the bowel to the bladder was performed. Total surgical time was 5.8, 8 and 7 hours. Hospital stay was 7, 5 and 4 days. The authors concluded that laparoscopic entercystoplasty is feasible and efficacious. Julio M. Pow-Sang, M.D.
Laparoscopic Cystoprostatectomy With Intracorporeally Constructed Ileal Conduit A. FERGANY, J. KAOUK, A. MERANEY, K. HAFEZ, G. T. SUNG
AND
I. GILL, Cleveland, Ohio, 10 minutes, 2000
The authors performed laparoscopic cystoprostatectomy with intracorporeally constructed ileal conduit in porcine models. A 5 port transperitoneal technique was used. The bladder was mobilized and removed, ureters were mobilized, ileal segment was isolated and bowel continuity was restored intracorporeally using a stapled side-to-side anastomosis. The authors describe the surgical steps and demonstrate that the procedure is feasible with no intraoperative complications. They reported more recently on successful completion of their first 2 human cases.1 Julio M. Pow-Sang, M.D. 1. Gill, I. S., Fergany, A., Klein, E. A. et al: Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases. Urology, 56: 26, 2000
The York Mason Approach for Repair of Rectourethral Fistulas C. J. VALLOROSI, J. Q. CLEMENS
AND
E. MCGUIRE, Ann Arbor, Michigan, 10 minutes, 2000
The authors describe the York Mason technique for the repair of rectourethral fistulas. These fistulas are often challenging due to surrounding tissue damage and their poorly accessible location. The surgical steps are presented and described. A posterior midline transsphincteric incision is made, which allows for repair through healthy, nonscarred tissues. The authors conclude that this procedure is highly effective with minimal morbidity for repair of rectourethral fistulas. Julio M. Pow-Sang, M.D. Rigid Ureteroscopy: How To Avoid Problems E. N. LIATSIKOS, C. DINLENC, R. KAPOOR, N. O. BERNARDO, J. FOGARTHY AND A. D. SMITH, New Hyde Park, New York, 11 minutes This video took home an honorable mention, which was 1 of 2 awards won by the Urology Department at Long Island Jewish Hospital at this year’s annual meeting. It is a basic instructional treatise on how to stay out of trouble when performing what has become an integral part of the armamentarium of the urologist, that is ureteroscopy. Patient positioning, use of the guide wire for safe access, and how to manage a cystocele, prominent prostatic median lobe, impacted ureteral stone and false passage are all covered. Balloon dilation, positive pressure irrigation and a variety of extracting devices are discussed. Videos can either inform about new procedures and techniques or provide instruction in the use of standard procedures. This video is a superb example of the latter and a worthwhile addition to the library of the resident in training or young urologist. Philip Hanno, M.D. All videos are available from the Ortho-McNeil/American Urological Association Video Library, and can be ordered by calling 1-800-282-7077.
VIDEO REVIEWS
cystocele and placement of a pubovaginal sling via a transvaginal approach. As of May 2000, 50 patients had undergone the operation with a maximum followup of 6 months. No patients had permanent urinary retention and 72% were completely dry. The authors conclude that transvaginal placement of cadaveric fascia for concomitant sling and cystocele repair provides material of excellent strength for the repair without relying on the inherently weak tissues of the patient with pelvic prolapse. The video is well done technically, and provides an excellent method for the interested urologist to understand better the surgical procedure. Philip M. Hanno, M.D.
URETEROSCOPY/LAPAROSCOPY/BLADDER RECONSTRUCTION Laparoscopic Enterocystoplasty: The Clinical Technique A. MERANEY, R. RACKLEY, P. MARCELLO, A. SENAGORE
AND
I. GILL, Cleveland, Ohio, 9 minutes, 2000
The authors describe the technique of laparoscopic enterocystoplasty in 3 patients requiring bladder augmentation. All patients had functionally reduced bladder capacities secondary to neurogenic causes. Ileocystoplasty was performed in 1 patient, sigmoidocystoplasty in 1 and cecocolocystoplasty with a continent, catheterizable ileal conduit with an umbilical stoma in 1. Four ports were used, and the selected bowel was mobilized laparoscopically, exteriorized through a small umbilical incision and refashioned. The bladder was mobilized laparoscopically, cystostomy was created and anastomosis of the bowel to the bladder was performed. Total surgical time was 5.8, 8 and 7 hours. Hospital stay was 7, 5 and 4 days. The authors concluded that laparoscopic entercystoplasty is feasible and efficacious. Julio M. Pow-Sang, M.D.
Laparoscopic Cystoprostatectomy With Intracorporeally Constructed Ileal Conduit A. FERGANY, J. KAOUK, A. MERANEY, K. HAFEZ, G. T. SUNG
AND
I. GILL, Cleveland, Ohio, 10 minutes, 2000
The authors performed laparoscopic cystoprostatectomy with intracorporeally constructed ileal conduit in porcine models. A 5 port transperitoneal technique was used. The bladder was mobilized and removed, ureters were mobilized, ileal segment was isolated and bowel continuity was restored intracorporeally using a stapled side-to-side anastomosis. The authors describe the surgical steps and demonstrate that the procedure is feasible with no intraoperative complications. They reported more recently on successful completion of their first 2 human cases.1 Julio M. Pow-Sang, M.D. 1. Gill, I. S., Fergany, A., Klein, E. A. et al: Laparoscopic radical cystoprostatectomy with ileal conduit performed completely intracorporeally: the initial 2 cases. Urology, 56: 26, 2000
The York Mason Approach for Repair of Rectourethral Fistulas C. J. VALLOROSI, J. Q. CLEMENS
AND
E. MCGUIRE, Ann Arbor, Michigan, 10 minutes, 2000
The authors describe the York Mason technique for the repair of rectourethral fistulas. These fistulas are often challenging due to surrounding tissue damage and their poorly accessible location. The surgical steps are presented and described. A posterior midline transsphincteric incision is made, which allows for repair through healthy, nonscarred tissues. The authors conclude that this procedure is highly effective with minimal morbidity for repair of rectourethral fistulas. Julio M. Pow-Sang, M.D. Rigid Ureteroscopy: How To Avoid Problems E. N. LIATSIKOS, C. DINLENC, R. KAPOOR, N. O. BERNARDO, J. FOGARTHY AND A. D. SMITH, New Hyde Park, New York, 11 minutes This video took home an honorable mention, which was 1 of 2 awards won by the Urology Department at Long Island Jewish Hospital at this year’s annual meeting. It is a basic instructional treatise on how to stay out of trouble when performing what has become an integral part of the armamentarium of the urologist, that is ureteroscopy. Patient positioning, use of the guide wire for safe access, and how to manage a cystocele, prominent prostatic median lobe, impacted ureteral stone and false passage are all covered. Balloon dilation, positive pressure irrigation and a variety of extracting devices are discussed. Videos can either inform about new procedures and techniques or provide instruction in the use of standard procedures. This video is a superb example of the latter and a worthwhile addition to the library of the resident in training or young urologist. Philip Hanno, M.D. All videos are available from the Ortho-McNeil/American Urological Association Video Library, and can be ordered by calling 1-800-282-7077.