摘要
目的：描述目前所用的原位回肠新膀胱的手术技术，并报告7例的经验和功能效果。方法：自2008年起，选择7例因膀胱恶性肿瘤行膀胱切除的患者，应用回肠新膀胱替代膀胱。此技术我们称之为“回肠新膀胱术”。结果：平均术后观察时间15月（8～20月）。无围手术期或术后早期死亡者，未出现早期严重并发症。结论：很多技术可以应用于创建回肠新膀胱。应用较短回肠完全去管化并U形折叠不做乳头结构构建新膀胱易于施行，并发症发生率易于接受，可以在低压状态下获得足够的容量，并可以提供满意的可控性。
Objective ： To describe the surgical technique we currently use for the construction of an orthotopic ileal neobladder. We report our experience and functional resuhs of the first 7 cases. Methods：Since 2008, 7 men have been treated with an ileal neobladder substitute after cys- toprostateetomy for bladder cancer. According to the technique we call ＂ Orthotopic Neobladder＂. Results：The mean postoperative observation time was 15 months （range 8 to 20）. No perioperative or early postoperative mortality was observed, and few serious early complications have occurred. Conclusions ： Several techniques may be used to create an ileal neobladder. A neobladder constructed using a smaller part of ileum that has been completely detubularized and folded in an U configuration without a nipple is easy to perform, has acceptable complication rates, achieves adequate capacity at low pressure, and provides satisfactory continence rates.
出处
《成都医学院学报》
CAS
2012年第03Z期297-299,共3页
Journal of Chengdu Medical College
