The use of "inserting"uretero-intestinal anastomosis in orthotopic bladder substitution
10.3760/cma.j.issn.1673-4904.2009.05.018
- VernacularTitle:"插入式"输尿管肠管吻合在原位肠道膀胱替代术中的应用
- Author:
Yisong LV
;
Xueyi XUE
;
Qingshui ZHENG
;
Huiliang ZHOU
;
Houping MAO
;
Xi LIN
;
Yilin LUO
;
Linsheng CAO
- Publication Type:Journal Article
- Keywords:
Anastomosis,uretero-intestinal;
Complementary therapies;
Ileal orthotopie neobladder
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(5):42-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the operation technique and therapeutic effect of "inserting" uretero-intestinal anastomosis in orthotopic bladder substitution.Methods Thirty-eight patients undergoing orthotopic bladder substitution operations were followed up,and the way of uretero-intestinal anastomosis in all Datients was the "inserting"uretero-intestinal anastomosis.The therapeutic effect was observed by radiation,cystoscopy,pathologic biopsy and blood test.Results The average follow-up time was(3 1.65±14.14)montll8.and the stricture rate was 4%(3/75),but no vesicoureteric reflux was found.The rate of leakage was 0.Nipples were formed at the site of anastomosis under the view of cystoscope,and among the 7 patients whose nipples were taken to be examined by histology,2 cases were intestinal epithelium which were taken at the base of nipple8.while the others were transitional epithelium which were taken at the top of nipples.The renal function of all patients was normal (Cr 54-135 μmol/L,BUN 3.2-9.4 mmol/L).Conclusion "Inserting"uretem-intestinal anastomosis is an ideal antireflux uretero-intestinal anastomosis method.
