Gotsadze D T
Khirurgiia (Mosk). 2001(12):45-8.
21 exenterations of small pelvis organs were performed from 1991 to 2000 for locally-spread cancer of the rectum. Temporary passage feces and urine before radical operation was performed in 6 patients. 10 patients underwent infralevator and 11 patients--supralevator exenteration of small pelvis organs. Continent cypass of urine was carried out in all the patients (in 2--delayed), and of feces--in 8 (in 2--delayed). Substitution of the urinary bladder was performed in 11 patients, formation of reservoir with "dry" urinostoma--in 10.
1991年至2000年期间,对21例因直肠癌局部扩散而行小骨盆脏器切除术的患者进行了研究。6例患者在根治性手术前行粪便和尿液的临时改道。10例患者接受了低位小骨盆脏器切除术,11例患者接受了高位小骨盆脏器切除术。所有患者均进行了可控性尿流改道(2例延迟进行),8例患者进行了粪便可控性改道(2例延迟进行)。11例患者进行了膀胱替代术,10例患者进行了“干性”尿口的贮尿囊形成术。