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目的：探讨膀胱癌行全膀胱切除加Ｂｒｉｃｋｅｒ手术并发症的防治。方法：７６例多发性、复发或浸润性膀胱癌行全膀胱切除，用Ｂｒｉｃｋｅｒ术作尿流改道。术中用粘膜下隧道法作输尿管回肠膀胱吻合术，以抗尿液逆流；将回肠膀胱近端及输尿管固定于腹膜外，以防腹腔感染。结果：主要并发症有直肠损伤１例、肠梗阻３例、回肠膀胱坏死２例、尿漏２例。结论：Ｂｒｉｃｋｅｒ术是全膀胱切除后作尿流改道较安全、应用较广泛的术式，准确把握手术关键步骤，是预防Ｂｒｉｃｋｅｒ术并发症的要点。
Objective: To investigate the prevention and treatment of bladder cancer with total cystectomy plus complications of Bricker. Methods: Totally 76 patients with multiple, recurrent or invasive bladder cancer underwent total cystectomy. Urinary diversion was performed using Bricker technique. Intraoperative submucosal tunnel ureteral ileal ureteral anastomosis to anti-urine reflux; the proximal ileum bladder and ureter fixed in the peritoneum to prevent intra-abdominal infection. Results: The main complications were rectal injury in 1 case, intestinal obstruction in 3 cases, ileal bladder necrosis in 2 cases and urinary leakage in 2 cases. Conclusion: Bricker technique is a safe and widely used method of urinary diversion after total cystectomy. It is a key point to prevent the complications of Bricker operation by accurately grasping the key steps of surgery.