Guan Zhizhen, Li Jiexian, Yang Ruilin
Department of Urology, Panyu Central Hospital, Guangzhou 511400, China. E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2013 Aug;33(8):1250-2.
To compare the postoperative recovery among patients undergoing orthotopic bladder substitution with sigmoid or ileal grafts.
The clinical data and postoperative recovery (postoperative complications, continence recovery time and postoperative hospital stay) of 84 patients receiving orthotopic bladder substitution with sigmoid or ileal grafts after radical cystectomy for bladder cancer were analyzed.
Of the 84 cases, 70 had continent urinary reservoirs constructed, among whom 58 (aged 48-89 years) received an ileal neobladder (IN) and 12 (aged 28-80 years) received a sigmoid neobladder (SN). The postoperative complications rate, continence recovery time and postoperative hospital stay in IN group was 29.3% (17/58), 91.4%, and 23.5 days, as compared to 58.3%(7/12) (P=0.04), 66.7% (P=0.03), and 25 days (P=0.04) in patients in SN group, respectively.
A neobladder constructed from ileal grafts achieves better postoperative recovery results compared to a neobladder constructed from sigmoid grafts.
比较接受乙状结肠或回肠移植原位膀胱替代术患者的术后恢复情况。
分析84例因膀胱癌行根治性膀胱切除术后接受乙状结肠或回肠移植原位膀胱替代术患者的临床资料及术后恢复情况（术后并发症、控尿恢复时间和术后住院时间）。
84例患者中，70例构建了可控性尿流改道贮尿囊，其中58例（年龄48 - 89岁）接受回肠新膀胱（IN），12例（年龄28 - 80岁）接受乙状结肠新膀胱（SN）。IN组术后并发症发生率、控尿恢复时间和术后住院时间分别为29.3%（17/58）、91.4%和23.5天，而SN组患者分别为58.3%（7/12）（P = 0.04）、66.7%（P = 0.03）和25天（P = 0.04）。
与乙状结肠移植构建的新膀胱相比，回肠移植构建的新膀胱术后恢复效果更好。
