去带盲升结肠可控膀胱术的临床分析

Clinical study of continent urinary reservoir by using cecal-ascending colon with multiple transverse teniamyotomies

目的:探讨膀胱全切后一种较理想、并发症少的贮尿囊的建立。方法:对10例膀胱癌患者行根治性膀胱全切术后,取盲升结肠150～200 mm,间隔5 mm切断结肠带,输尿管直接植入与结肠吻合,以阑尾或回肠作输出道。结果:手术成功,控尿满意。贮尿囊容量平均460 ml,血生化检查正常,无肾积水发生。结论:去带盲升结肠可控膀胱术是一种较为理想的尿流改道手术方式。

Objective：To explore a perfect surgery for constructing a proper urinary reservoir with low incidence of complications after bladder replacement. Methods ： 10 patients with bladder cancer underwent radical cystectorny. 150-200mm of the cecal-ascending colon was isolated, and colic band were cut at the distance of per 5 mm for implanting the ureter and connecting the colon with appendix or ileum as afferent duct by anastomosis. Results ： Urinary vesicle was successfully constructed in the total 10 cases with normal laboratory findings and no nephrohydrops development, and the average volume of reservoir was 460 ml. Conclusion： Continent urinary reservoir construction by using cecal-ascending colon is an ideal procedure for urinary diversion after bladder replacement.