膀胱全切非管状乙状结肠膀胱成形术（附六例报告）

Detuberized sigmoid colon as the urinary reservoir after total cystectomy

对６例多发性浸润性膀胱癌而膀胱颈部及尿道无侵犯的患者在膀胱前列腺全切后以非管状乙状结肠原位代膀胱。经３～２５个月的随访，除１例仍有轻度尿失禁伴轻度排尿困难外，余５例手术后６个月以上者非管状乙状结肠膀胱容量大、压力低，经尿道排尿、排空完全、自控性好，无全身营养障碍及水电酸碱紊乱，节省肠管，手术简便。

Detuberized sigmoid colon was utilized as the urinary reservoir after total cystectomy in 6 case of extensive bladder carcinoma but free from invasion to the bladder neck and urethra. 5 patients have been followed up for 6-25 months with satisfactory result. The capacity of the reservoir has been large, the intravesical pressure being low;voluntary voiding has been good and the patients have been free from malnutrition or electrolyte disorders. The operative technique was rather simple with less intestinal loop to be sacrificed. In one patient,slight incontinence and difficult urination have persisted within the 6months of postopdrative follow up.