Gotsadze D T, Pirtskhalaishvili G G, Chovelidze Sh G, Daneliia E V
Vopr Onkol. 1991;37(5):599-602.
Cystectomy with derivation of urine into large bowel reservoir was performed in 35 cases of bladder cancer including five females. Four patients (11.4%) died postoperatively. In patients with partial or complete ileocecal valve failure, the best functional results were obtained with formation of intussusceptum in the area of the ileum stoma. The reservoir volume increased with time, reaching 750 +/- 57.9 ml by the end of the second year. Within the same period, pressure in the totally filled reservoir decreased from 32 +/- 1.7 to 18 +/- 4.3 un. Postoperative monitoring of anatomic structure of the kidneys showed improvement in urine passage. Wide integration of the procedure discussed with practice will improve results of bladder cancer treatment.
35例膀胱癌患者（包括5名女性）接受了膀胱切除术，并将尿液引流至大肠储尿囊。4例患者（11.4%）术后死亡。对于部分或完全回盲瓣功能不全的患者，在回肠造口区域形成套叠可获得最佳功能结果。储尿囊容量随时间增加，到第二年末达到750±57.9毫升。在同一时期，完全充盈的储尿囊压力从32±1.7单位降至18±4.3单位。对肾脏解剖结构的术后监测显示尿液排出情况有所改善。将所讨论的手术方法广泛应用于临床实践将改善膀胱癌的治疗效果。
