The clinical study of 120 cases total cystectomy and W shape orthotopic ileal neobladder / 中华外科杂志
Zhonghua Wai Ke Za Zhi
; (12): 104-107, 2006.
Article
en Zh
| WPRIM
| ID: wpr-317200
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study advantages or disadvantages of total cystectomy and W shape orthotopic ileal neobladder.</p><p><b>METHODS</b>Radical cystectomy and ileal new bladder was performed antegradly and retrogradly for 120 male patients. For the construction of the reservoir, the 40 cm ileal segment was isolated along its antimesenteric border and then arranged into a W shape. The incised ileum was sutured blanketly to create urine bag. The ureters were replanted at the two corners of the W shape by way of creating nipple.</p><p><b>RESULTS</b>The first 50 cases took 210-300 min with a mean of 270 min. The later 70 cases took 110-205 min with a mean of 143 min. Ninety-one of 120 cases had been followed up for 2-88 months with a mean of 30 months. Eighty-five cases had achieved excellent daytime continence, whereas 71 cases had nighttime continence. There were 9 cases of hydroureter and 2 cases of moderate hydronephrosis. Renal function of 2 cases were slightly abnormal. Hypokalemia occurred in 6 cases, and there was no metabolic-disorder. On voiding cystography, only 1 case showed reflux in right ureter. Only 2 case suffered from cancer recurrence of urethral and no patient suffered from cancer recurrence of neobladder. Twenty patients were evaluated by urodynamic examine. The urine flow curve showed continual shape in 12 cases, while intermittent shape in 8 cases. Voiding cystourethrography showed the neobladder outlet presented funnel shape and open well in continual group, while lack of funnel shape or bladder neck opened badly in intermittent group.</p><p><b>CONCLUSION</b>The modified total cystectomy and ileal new bladder are effective and reliable treatment for patients.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Cirugía General
/
Derivación Urinaria
/
Neoplasias de la Vejiga Urinaria
/
Cistectomía
/
Estudios de Seguimiento
/
Métodos
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Año:
2006
Tipo del documento:
Article