Yoshikawa Motokiyo, Hosokawa Yukinari, Toyoshima Yuta, Takada Satoshi, Hayashi Yoshiki, Fujimoto Kiyohide, Hirao Yoshihiko
The Department of Urology, Tane General Hospital, Japan.
Hinyokika Kiyo. 2010 Nov;56(11):651-4.
A 69-year-old man was admitted for the treatment of muscle-invasive bladder carcinoma. Total cystectomy was performed and an ileal neobladder was constructed by a modification of Studer's method. However, a week later, a subcutaneous abscess occurred withwound dehiscence. Open drainage and wound debridement was carried out. Three weeks later, a neoblader-cutaneous fistula was seen on cystography. We managed it conservatively by means of wound debridement and washing with physiological saline. The fistula was closed on the 95th day after operation. The patient can now pass urine by himself.
一名69岁男性因肌肉浸润性膀胱癌入院治疗。实施了全膀胱切除术，并采用改良的Studer方法构建了回肠新膀胱。然而，一周后出现了皮下脓肿并伴有伤口裂开。进行了开放引流和伤口清创。三周后，膀胱造影显示新膀胱-皮肤瘘。我们通过伤口清创和用生理盐水冲洗进行保守处理。瘘管在术后第95天闭合。患者现在能够自行排尿。
