McCarthy R J, Lipowitz A J, O'Brien T D
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul.
Vet Surg. 1992 May-Jun;21(3):208-16. doi: 10.1111/j.1532-950x.1992.tb00048.x.
Urinary diversion by transplantation of both ureters into a reservoir constructed from 60 cm of jejunum was performed in six clinically normal dogs. The reservoir was connected to a stoma on the abdominal wall through a valve constructed from a short segment of intussuscepted bowel to provide continence. The reservoir was emptied three times daily by catheterization. One dog did not survive the surgical procedure and two dogs died within 1 week of surgical complications. The postoperative capacity of the reservoir in surviving dogs was 100 to 200 mL; it increased during the first month to 600 to 750 mL. Continence was excellent in two dogs. One dog was continent until month 2, when partial slippage of the intussusception occurred. A reversible hyponatremic, hypochloremic, hypokalemic metabolic acidosis developed. Bacteriuria was not responsive to systemic or local instillation of antibiotics. Ascending pyelonephritis, hydroureter, and hydronephrosis occurred in two dogs. Struvite urinary calculi formed in one dog. The procedure as described would be unsuitable for clinical use in dogs.
对6只临床健康的犬进行双侧输尿管移植至由60厘米空肠构建的贮尿囊的尿路改道术。贮尿囊通过一段肠套叠形成的短节段肠管构建的瓣膜与腹壁造口相连以实现控尿。贮尿囊每天通过导尿排空3次。1只犬手术过程中死亡，2只犬在术后1周内死于手术并发症。存活犬术后贮尿囊容量为100至200毫升；在第1个月内增加至600至750毫升。2只犬控尿良好。1只犬在第2个月前控尿良好，之后发生肠套叠部分滑脱。出现了可逆性低钠、低氯、低钾性代谢性酸中毒。菌尿对全身或局部应用抗生素均无反应。2只犬发生了上行性肾盂肾炎、输尿管积水和肾积水。1只犬形成了鸟粪石性尿路结石。所描述的该手术方法不适用于犬的临床应用。
