The low tension Roux-y sigmoid neobladder (report of 13 cases)
- VernacularTitle:低张力Roux-y肠代膀胱术13例报告
- Author:
Dingyi LIU
;
Jian WANG
;
Shixiong LIU
- Publication Type:Journal Article
- Keywords:
Urinary diversion;
Neobladder
- From:
Chinese Journal of Urology
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effects of low tension,anti-reflux Roux-y sigmoid neobladder. Methods Using modified ureterocolostomy and colorectostomy,low tension Roux-y sigmoid neobladders were formed on 12 cases of bladder cancer and 1 case of vesicovaginal fistula.The surgical procedures involved making an “inversive valve” into the bowel lumen about 1.5 cm above the Roux-y anastomotic stoma and anastomosing the ureter and colon by Leadbetter method;then the reservoir was made by detubularization of sigmoid.Postoperatively,blood electrolytes and acid-base balance, and urination were monitored. Results During the follow-up of 0.5~5 years,only 2 cases had occasional fever;no hydronephrosis, no disorder of acid-base balance occurred.The blood electrolytes were within the normal range.And no one had incontinence. Conclusions The low tension,anti-reflux Roux-y sigmoid neobladder is a surgical technique of less trauma and with less complications.