摘要
目的:探讨腹腔镜全膀胱切除Bricker术后晚期并发症。方法:回顾分析2008年12月前因膀胱肿瘤行腹腔镜全膀胱切除Bricker术34例患者的临床资料。结果:术后平均随访36个月,其中1例于术后13个月死于心脑血管意外,2例失访;余31例中,16例发生晚期并发症(51.6%),二次手术2例(6.5%),发生造瘘口相关并发症5例(16.1%),肠相关并发症3例(9.7%),尿道感染及肾盂肾炎4例(12.9%),尿石病2例(6.5%),肾功能减退2例(6.5%)。结论:Bricker术操作简单,适于有严重合并症的患者,是最常用的尿流改道术之一。
Objective:To explore the long-term complications of Bricker operation following laparoscopic radical cystectomy. Methods : Clinical data of 34 patients with invasive bladder cancer treated with Bricker operation following laparoscopic radical cystectomy before Dec. 2008 were analyzed retrospectively. Results:One patient died of a cardio-cerebrovascular accident 13 months after operation. Two patients were lost. Mean follow-up was 36 months. Long-term complications were identified in 16 patients (51.6%). Secondary operation was performed in 2 patients (6.5 % ). Stoma-related complications developed in 5 patients ( 16.1% ). Bowel-related complications occurred in 3 patients (9.7%). Urinary tract infection and pyelonephritis was observed in 4 patients (12.9%). Urolithiasis developed in 2 patients (6.5%). Renal function deterioration was found in 2 patients (6.5%). Conclusions: Long-term follow-up shows Bricker operation is associated with higher complication rate but lower surgical re-intervention. Longer follow-up period for 10 or more years is needed for all urinary diversion techniques to prove either the Bricker operation will remain the gold standard for urinary diversion or other newly developed techniques will take its place. Nowadays, Bricker operation is one of the most common used urinary diversion surgery, it is easy and suitable for patients with serious complications.
出处
《腹腔镜外科杂志》
2012年第6期451-454,共4页
Journal of Laparoscopic Surgery