FIELD: medicine.
SUBSTANCE: method involves mobilizing gallbladder wall from its bed. Cystic artery and vein are retained. Cystic duct is transected near choledochus wall. The gallbladder is displaced maximum far downward. Left ureter stump is end-to-end sutured into cystic duct stump. Right ureter stump is sutured into gallbladder body 1 cm proximal relative to external line of produced vesicoureteral anastomosis sutures. Gallbladder fundus is joined to peritoneum in the right intercostals space forming cholecystostoma. Catheters draining the ureters are brought on the skin via the cholecystostoma. Gallbladder peritoneum is cut to mucous layer, 1 cm long, in parallel to its axis. The notches are repeated in parallel to gallbladder axis. Notch-to-notch distance is at least 5 mm long. The number of notches is at least 8.
EFFECT: enhanced effectiveness in forming reliable urinary reservoir.
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