Clinical efficacy comparison of ileal conduit,flap embedding method,and traditional cutaneous ureteros-tomy in patients with bladder cancer
10.3969/j.issn.1006-5725.2025.10.013
- VernacularTitle:回肠通道术、皮瓣嵌入法与传统输尿管皮肤造口术对膀胱癌患者临床疗效的比较
- Author:
Xufeng YU
1
;
Meimian HUA
;
Shuxiong ZENG
;
Wei HE
;
Ziwei WANG
;
Qing CHEN
;
Chen ZHANG
;
Yue WANG
;
Yi WANG
;
Chuanliang XU
Author Information
1. 海军军医大学第一附属医院泌尿外科(上海 200433)
- Publication Type:Journal Article
- Keywords:
bladder cancer;
ileal conduit;
cutaneous ureterostomy;
complications;
quality of life
- From:
The Journal of Practical Medicine
2025;41(10):1517-1524
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of different urinary diversions,specifically exploring whether the flap embedding technique can improve bladder cancer patients'quality of life and reduce the incidence of related complications.Methods 63 bladder cancer patients undergoing radical cystectomy with urinary diver-sion,between December 2022 and December 2023,were divided into three groups:Ileal conduit group(n=21),flap embedding technique group(n=21),and traditional cutaneous ureterostomy group(n=21).General clini-cal data,surgical data,preoperative and postoperative renal function indicators,incidence of complications within 6 months postoperatively,and quality of life scores were compared among the groups.Results The operative time in the ileal conduit group was longer than that in the other two groups(P<0.05).The quality of life scores in the flap embedding technique group were superior to those in the traditional cutaneous ureterostomy group(P<0.05),but no significant difference was found compared to the ileal conduit group(P>0.05).In terms of postoperative complications,the incidence of intestinal obstruction in the flap embedding technique group was lower than that in the ileal conduit group(P<0.05),and the rate of reinsertion of a single-J stent for hydronephrosis in the flap embedding technique group was lower than that in the traditional cutaneous ureterostomy group(P<0.05).Postop-erative serum creatinine levels in the traditional cutaneous ureterostomy group were significantly higher than preop-erative levels(P<0.05),while no significant differences in renal function indicators were observed in the other two groups(P>0.05).Conclusion The flap embedding technique significantly improves patients'quality of life and reduces the incidence of postoperative complications.It is worthy of further promotion in clinical practice.
