犬三角区移行细胞癌的全膀胱切除术及随后向包皮或阴道的尿路改道：10例报告（2005 - 2011年）
Total cystectomy and subsequent urinary diversion to the prepuce or vagina in dogs with transitional cell carcinoma of the trigone area: a report of 10 cases (2005-2011).
作者信息
Saeki Kohei, Fujita Atsushi, Fujita Naoki, Nakagawa Takayuki, Nishimura Ryohei
机构信息
The Laboratory of Veterinary Surgery (Saeki, Fujita N, Nakagawa, Nishimura) and Veterinary Medical Center (Fujita A), Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo 113-8657, Japan.
出版信息
Can Vet J. 2015 Jan;56(1):73-80.
Abstract
The cases of 10 dogs with transitional cell carcinoma of the urinary bladder that underwent total cystectomy were retrospectively reviewed to evaluate the feasibility and outcome of total cystectomy and ureteral transplantation to the prepuce or vagina. Dehiscence of ureterostomy (n = 2), pyelonephritis (n = 3), oliguria (n = 2), azotemia (n = 1), and ureteral obstruction (n = 1) were observed complications. The estimated median survival time was 385 days. This study demonstrates the feasibility of total cystectomy and subsequent urinary diversion to the prepuce or vagina in dogs. Compared to previous ureterocolonic anastomosis, this technique is associated with fewer gastrointestinal and neurologic complications.
摘要
回顾性分析了10只接受膀胱全切术的患有膀胱移行细胞癌犬的病例，以评估膀胱全切术及输尿管移植至包皮或阴道的可行性和结果。观察到的并发症包括输尿管造口裂开（n = 2）、肾盂肾炎（n = 3）、少尿（n = 2）、氮质血症（n = 1）和输尿管梗阻（n = 1）。估计中位生存时间为385天。本研究证明了犬膀胱全切术及随后尿液改道至包皮或阴道的可行性。与先前的输尿管结肠吻合术相比，该技术相关的胃肠道和神经并发症较少。
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