Skinner D G, Boyd S D, Lieskovsky G, Bennett C, Hopwood B
Department of Urology, University of Southern California Medical Center, Los Angeles.
J Urol. 1991 Sep;146(3):756-60. doi: 10.1016/s0022-5347(17)37914-4.
Between May 1986 and February 1990, 126 consecutive men underwent lower urinary tract reconstruction by means of bilateral ureteroileal urethrostomy using a Kock ileal reservoir. The early complication rate was 11.1%. Late complications requiring rehospitalization or reoperation have been surprisingly few: 1 for prolapse of the afferent antirefluxing nipple valve, 1 for calculi and 4 for artificial urinary sphincter placement due to unsatisfactory continence. Good continence has been achieved in 94% of the patients during the day and in 84% at night. Tumor recurred in the pelvis in 5 patients, with 4 requiring cutaneous urinary diversion. All patients had progression or died of metastatic disease. Our experience has yielded extraordinary results in terms of patient acceptance with few late complications or need for reoperation.
1986年5月至1990年2月期间，连续126名男性通过使用Kock回肠储尿囊的双侧输尿管回肠尿道造口术进行了下尿路重建。早期并发症发生率为11.1%。需要再次住院或再次手术的晚期并发症出奇地少：1例为输入性抗反流乳头瓣脱垂，1例为结石，4例因控尿不满意而放置人工尿道括约肌。94%的患者白天控尿良好，84%的患者夜间控尿良好。5例患者盆腔肿瘤复发，4例需要进行皮肤尿流改道。所有患者均出现转移性疾病进展或死亡。我们的经验在患者接受度方面取得了非凡的成果，晚期并发症极少，几乎不需要再次手术。
