膀胱及腹壁切除后肠代膀胱及合成材料腹壁修补术(附1例报告)

Reconstruction of bladder with intestine and herniorrhaphy with synthetic material after total cystectomy and partial abdominal wall excision (with a case report).

目的:尝试在切口污染条件下采用假体材料修补大面积腹壁缺损的可行性。方法:一例晚期复发性膀胱腺癌累及全层腹壁的患者,在对其病灶切除后,同时实施原位肠代膀胱术和假体材料前腹壁大面积缺损修补术。结果:术后患者切口一期愈合,原位肠代膀胱恢复正常储尿排尿功能。结论:对于已累及腹壁的晚期膀胱肿瘤,实施膀胱全切除和累及腹壁切除,同时实施肠代膀胱术和假体材料腹壁缺损修复术是完全可行的。

Objective:To use synthetic material for repair a defect of abdominal wall under the contaminating condition. Methods: In a case of recurrent bladder adenocarcinoma invading abdominal wall, orthotopic bladder substitution with intestine and abdominal wall repair with synthetic material were performed after total cystectomy and abdominal wall partial excision. Results: The patient recovered uneventfully with the good healing of the incision. Conclusions:It is possible to perform urinary diversion including bladder reconstruction and abdominal wall repair with synthetic material after total cystectomy together with excision of cancer invaded abdominal wall, even for the patient with bladder cancer in the late stage.