Yoshinaga Atsushi, Ohno Rena, Ishii Nobuyuki, Chiba Koji, Hayashi Tetsuo, Kamata Shigeyoshi, Watanabe Toru, Yamada Takumi
Department of Urology, Saitama Medical Center, Saitama Medical School.
Hinyokika Kiyo. 2004 Jan;50(1):25-7.
A total cystectomy with the Indiana continent diversion was performed on a 73-year-old man under the diagnosis of invasive bladder cancer in 1992. In 1994 there appeared a few urinary stones in his Indiana continent urinary diversion. Extracorporeal shock wave lithotripsy (ESWL) was successfully performed. In 1999 a few urinary stones recurred and ESWL was performed. Stones could not be discharged because of stricture of the efferent limb, although stones were crushed down into small pieces by repeated ESWL. The number and sizes of stones gradually increased. Dilatation of the stoma followed by a trans-stomal operation was performed and all of the stones except for one were extracted.
1992年，对一名73岁诊断为浸润性膀胱癌的男性患者实施了全膀胱切除术并采用印第安纳可控性尿流改道术。1994年，他的印第安纳可控性尿流改道出现了一些尿路结石。成功进行了体外冲击波碎石术（ESWL）。1999年，尿路结石复发并再次进行了ESWL。尽管通过反复ESWL将结石粉碎成小块，但由于输出道狭窄，结石无法排出。结石的数量和大小逐渐增加。进行了造口扩张并随后实施了经造口手术，除一块结石外，其余结石均被取出。
