论文部分内容阅读
用印第安纳大学Rowland等倡导的术式,行可控性回盲肠代膀胱6例,均为膀胱癌患者,男5例、女1例。膀胱全切、盆腔淋巴清扫、前列腺及尿道全切4例,膀胱及前列腺全切1例,全盆脏器官切除1例。2例合并糖尿病,1例伴输尿管肿瘤。术后平均观察6.5个月。术前常规肠道准备,下腹部正中切口,常规作阑尾切除术。在距回盲部15cm处、30cm处,截取二节长约15cm的回肠段;从升结肠起始部上20cm处截断,清洗肠道内容物后,用电刀从结肠带处纵形切开结肠及近段游离回肠,将切开的结肠瓣及回肠瓣用3—0 Vicryl线全层逢合成袋状贮尿囊。向盲肠未端的另一节回肠内插入F12气囊导管,用3—0丝线二层折叠缝合,形成折襞,折叠缝合后肠腔能插入F16号导尿管,注入
Rowland, Indiana University and other advocated by the surgical procedures, controllable ileocecal on behalf of the bladder in 6 cases, were bladder cancer patients, 5 males and 1 female. Total resection of the bladder, pelvic lymphadenectomy, prostatic and urethral resection in 4 cases, 1 case of complete resection of the bladder and prostate, pelvic organ resection in 1 case. 2 cases with diabetes, 1 case with ureteral tumor. After an average of 6.5 months. Preoperative routine intestinal preparation, incision in the middle of the lower abdomen, routine appendectomy. From the ileocecal 15cm at 30cm, interception of two sections about 15cm long ileum; starting from the Ministry of ascending colon 20cm cut off, clean the contents of the intestine, with an electric knife from the colon strip longitudinal cut Colon and proximal ileum, will open the colon and ileum petals with 3-0 Vicryl full-line synthetic bag-shaped storage of urine. To the other end of the cecum ileum inserted F12 balloon catheters, with two layers of 3-0 silk folded suture to form a fold, fold the intestine after the suture can be inserted into the F16 catheter, into