Abou-Elela Ashraf, Abou-Elela Amr, Alfaiomy Hany, Elshafei Ahmed
Cairo University, As-Salam International Hospital, Maadi, Cairo, Egypt.
Surg Technol Int. 2010 Oct;20:245-50.
We evaluated the safety, efficacy, and potential benefits of using the linear-cutter staplers in the ileal reanastomosis and ileal pouch reconstruction following radical cystectomy in patients with invasive carcinoma of the urinary bladder. Radical cystectomy and orthotopic ileal bladder substitution procedures were performed in 40 patients with invasive carcinoma of the urinary bladder. In 20 patients the linear- cutter stapling device was used for the ileo-ilial reanastomosis and reconstruction of the pouch, while in the other 20 patients the standard hand-suturing technique was used. Using the linear-cutter stapler in the ileo-ileal reanastromasis and ileal pouch reconstruction saved approximately 60 to 90 minutes of operative time, and there was also a significant reduction of blood loss during this period. The leakage rate and hospital stay were less in patients with a stapled pouch. Urodynamic characteristics were comparable to standard ileal neobladders.
我们评估了在浸润性膀胱癌患者根治性膀胱切除术后行回肠再吻合术和回肠膀胱重建术中使用直线切割缝合器的安全性、有效性及潜在益处。对40例浸润性膀胱癌患者实施了根治性膀胱切除术和原位回肠膀胱替代术。其中20例患者使用直线切割缝合器进行回肠-回肠再吻合和膀胱重建，另外20例患者采用标准手工缝合技术。在回肠-回肠再吻合和回肠膀胱重建中使用直线切割缝合器节省了约60至90分钟的手术时间，且在此期间失血量也显著减少。使用吻合器重建膀胱的患者渗漏率更低，住院时间更短。尿动力学特征与标准回肠新膀胱相当。
