去带盲升结肠可控膀胱术的临床分析

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。

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

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 radi- cal cystectomy.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 laborstory findings and no nephrohydrops development,and the average volume of reservoir was 460 ml. Conclusion:Continent urinary reservoir construction by using cecal-as- cending colon is an ideal procedure for urinary diversion after bladder re- placement.