Ileum to the S-type of suture produced orthotopic neobladder-with a three cases report
- VernacularTitle:去管化回肠S型缝合制作正位新膀胱三例报告
- Author:
Qi-Chuan ZHENG
;
Jin-Guo HUANG
;
Fang-Cheng DING
;
Gang XU
;
Gang WANG
;
- Publication Type:Journal Article
- Keywords:
Urinary neoplasms;
Cystectomy;
Urinary diversion
- From:
Cancer Research and Clinic
2006;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
objective To evaluate the clinical application value of ileum to the S-type of suture pro- duced orthotopic neobladder.Methods Radical cystectomy and ileal neobladder with"S"shape were per- formed in 3patients with transitional cell carcinoma.Ureter implant into neobladder with embedding nipple techniques,bottom of neobladder coincide with urethra stump.Results The average operative time to form a neobladder was 5 hours,average bleeding volume was 366 ml during operation,3 cases can control urine dur- ing daytime,nycturia 1-3 times every night.Neobladder has a large capacity,low pressure,and electrolytes of blood was normal.Conclusion The construction of an ileal neobladder using a smaller part of ileum that has been completely detubularized and fashioned by S shape is easy and agreeable to perform.This mode of oper- ation has low complication rates,achieves adequate capacity at low pressure,and provides satisfactory conti- nence rates.It is a fine scheme to treat invasion and multiple carcinoma of bladder.
