根治性膀胱全切术后正位可控膀胱术研究进展.

 正位膀胱替代术经过近20 年的临床实践，被越来越多的医学中心所采用。通过总结重要的文献阐述了正位可控膀胱术中患者的选择、输尿管抗反流、上尿路安全性、尿控的恢复、肿瘤治疗的安全性、特殊的并发症和患者生存生活质量等方面的最新进展和新观点。与其他方式的尿流改道相比，正位可控膀胱有可能成为根治性膀胱全切术后新的治疗标准

Clinical advance of orthotopic bladder replacement after radical cystectomy

The surgical technique of total bladder replacement orthotopic intestinal neobladder has already been a well accepted method for urinary tract reconstruction after cystectomy in woad wide medical center in past 20 yeas.In this review,the update advance and viewpoint in some critical aspects of patients selection,reflux prevention,upper tract safety,continence,oncology safety,specific complications and quality of life were evaluated in the orthotopic bladder replacement.It is possible that the orthotopic bladder replacement become a new gold standard in urinary diversion after radical cystectomy.