Efficacy of cutaneous ureterostomy-flap embedding in radical cystectomy plus urinary diversion in 10 cases
10.3969/j.issn.1009-8291.2024.12.015
- VernacularTitle:输尿管皮肤造口术-皮瓣嵌入法用于根治性膀胱切除术＋尿流改道术10例效果初探
- Author:
Xufeng YU
1
;
Meimian HUA
1
;
Shuxiong ZENG
1
;
Qing CHEN
1
;
Ziwei WANG
1
;
Yidie YING
1
;
Maoyu WANG
1
;
Chen ZHANG
1
;
Yi WANG
1
;
Chuanliang XU
1
Author Information
1. Department of Urology, Shanghai Changhai Hospital, Shanghai 200433, China
- Publication Type:Journal Article
- Keywords:
bladder cancer;
urinary diversion;
cutaneous ureterostomy;
modified surgery;
flap embedding
- From:
Journal of Modern Urology
2024;29(12):1099-1103
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To explore the clinical application of cutaneous ureterostomy-flap embedding in radical cystectomy plus urinary diversion. [Methods] The clinical data of 10 patients with bladder cancer treated with this method in our hospital during Feb.and May 2023 were involved.Cutaneous ureterostomy-flap embedding was used in urinary diversion.The stoma-free rate and stenosis rate of stomas within 1 year postoperatively, differences in renal function indicators 1 day before operation and 1 year after operation, urinary diversion-related complications within 6 months postoperatively, including hydronephrosis, urinary tract infections, renal stones were analyzed. [Results] All surgeries were successfully completed.At 1 year postoperatively, renal function indicators showed no significant difference compared to preoperative levels (P>0.05). At 6 months postoperatively, 1 patient developed renal stones, successfully treated with surgery; 2 had urinary tract infection, recovered after antibiotic treatment; 2 had mild unilateral hydronephrosis, alleviated with conservative management.At 1 year postoperatively, the catheter-free rate was 80%(8/10), with no worsening of hydronephrosis or occurrence of ureteral obstruction, and the stent placement duration ranged from 97 to 211 days, average (151.63±42.47) days.The ureteral stent was not removed in 2 patients within 1 year, so the stoma stenosis rate was 20%(2/10). [Conclusion] The application of flap embedding in urinary diversion following radical cystectomy is a simple and safe procedure, with few postoperative complications, high success rate of stent removal, and overall favorable outcomes.
