Langenbecks Arch Surg (2017) 402:1271–1278 DOI 10.1007/s00423-017-1554-0 HOW-I-DO-IT ARTICLE Ureterocystoneostomy in complex oncological cases with an BUebelhoer^ modified Boari bladder flap 1,2 1 1,3 4 Jan P. Radtke & Nina Korzeniewski & Johannes Huber & Celine D. Alt & 1,5 1 1 1 Sascha Pahernik & Boris A. Hadaschik & Markus Hohenfellner & Dogu Teber Received: 23 August 2016 /Accepted: 5 January 2017 /Published online: 16 January 2017 Springer-Verlag Berlin Heidelberg 2017 Abstract oncological surgery or radiotherapy in seven cases. Median Purpose The study aims to describe the technique and ana- patient age was 57 (interquartile range (IQR) 46–72), defect lyze the outcome of an arcuated bladder incision with building length was 7.5 cm (IQR 5–8 cm), and median follow-up pe- of a triangular flap, first described by Uebelhoer (UBBF), as a riod was 41 (IQR 36–48) months. In short-term follow-up, 11/ modification of the classical rectangular Boari bladder flap 13 postoperative morbidities were Clavien-Dindo level I-II (BBF), that is often viable, but can present difficulties, such complications, mostly infections. Two level IIIa complica- as reduced flap vascularization and mobility in pretreated tions occurred. One anastomotic leakage was treated suffi- patients. ciently with temporarily ureteral stenting and one voiding
Langenbeck's Archives of Surgery – Springer Journals
Published: Jan 16, 2017
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