A Clinical Experience of the Ileocecal Conduit

Jang, Kyung Jae; Yoon, Zin Han; Yoon, Jong Byung

Abstract

Ileocecal conduit diversion was performed in five patients. Although the follow up period is still too short to obtain any conclusive data, satisfactory results were so far observed on the whole. Encountered post-operative complications were wound infection in two cases and ileus in one. They were however transient. IVP, retrograde conduitography, urinalysis and culture, blood chemistry and arterial blood gas analysis were examined on the patients. The retrograde conduitography showed that the contrast medium was blocked at the ileocecal valve under the retrograde low pressure irrigation, and no reflux was observed in the ileal portion or ureter. Under the high pressure irrigation, however, the contrast medium passed beyond the ileocecal valve on 2 of 4 cases, but did not flowed back to the ureter. Some anatomic and functional advantages of the ileocecal intestinal conduit are discussed. Because the ileocolic vessels are less in variation and easily mobilized, the isolation procedure of the intestinal segment is simpler and the stoma is also easily constructed without any undue tension. The stromal stenosis is expected to be fewer in comparison with the ileal conduit case. This operation is considered to be further examined extensively as one of the conduit type urinary diversion.